Claims Inspection Representative

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About the role

JOB DESCRIPTION: Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology. Our rapid diagnostics solutions are helping address some of the world’s greatest healthcare challenges. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You will have access to: • Career development with an international company where you can grow the career you dream of. • A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune. • A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists. The Opportunity As the Claims Inspection Representative , you will be responsible for handling claims review through an established checklist to ensure accurate claim requirements are met before it is released to the insurance. What You’ll Do • Conduct thorough reviews of submitted claims by applying a standardized checklist of requirements to ensure accuracy, completeness, and compliance with internal policies and payer guidelines. • Accurately identify discrepancies, errors, or non-compliance issues referred to as Failpoints during the claims review process. These findings must be clearly documented and promptly communicated to the appropriate internal departments to initiate necessary corrective actions and ensure process integrity. • Maintains accurate patient information in relevant Acelis Connected Health data management systems. • Applies knowledge of company processes and procedures to respond to incoming communication from insurance companies, patients and internal departments. • Performs other related duties as assigned. Requirements • College diploma or equivalent, but more education, especially in management or healthcare, is preferred. • Minimum of 2 years of experience in healthcare accounts (preferably Revenue Cycle Management work experience). • One to two years data processing experience preferred. • One to two years customer service or provider relations experience preferred. • Proficiency with technology, especially computers, software applications, and phone systems. • Good verbal and written communication skills. • Strong understanding of company products, policies, and services. Competencies • Fostering Teamwork • Analytical Thinking • Commitment to Job Deliverables • Leadership • Decision Making • Trustworthiness and Ethics • Attention to Details • Problem Solving • Attention to Communication • Technical Expertise • Customer Orientation • Managing Change • Adaptability • Managing Performance • Stress Management • Initiative • Personal Credibility • Interpersonal Skills • Flexibility • Thoroughness • Self Confidence Required Skills Communication • Excellent interpersonal skills • Detailed & Team Oriented • Professional communication & Writing Organization/Time Management Skills Technical Skills • Detail-oriented • Basic Excel, Word and Outlook experience required. • Demonstrates proficiency and accuracy using Alere Home Monitoring data management systems which are directly related to the specific job function. • Strong Computer/Software Skills Physical Abilities • Perform some repetitive motion activities. • Sit for long periods of time. • Requires close vision and the ability to adjust eye focus often. • Required to reach with hands and arms. Work Schedule • Must be able sit at a standard workstation for long period. • Must be able to work with a standard c

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