Health Claim Specialist

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

About Abbott

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.

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

This position works out of our Abbott NM Neuromodulation, located in San Juan, Puerto Rico.

What You’ll Do

This position Serve as main contact with medical insurance agencies to get authorization for all the implants from sales for Medical Devices Division.

• Receives telephone calls.

• Uses computerized system to gather information and confirm sales prompted by incoming calls.

• Answer inquiries, resolve problems, and promote products/services.

• Get all the documentation required from medical insurance agencies.

• Process implants authorization with medical insurance agencies and hospitals.

• Complete the forms 1500 and UV04 to bill the medical insurance agencies directly.

• Make sure that forms completed have the appropriate CPT, procedures, and product codes.

• Prepare quotations and develop contract negotiation with medical insurance agencies as participant provider.

• Visit customers for claim status and reconciliations.

• Ensure compliance with all procedures and all applicable regulatory agency requirements.

Required Qualifications

• Associate degree. Preferred in Medical Billing

• Fully bilingual in English and Spanish.

• Strong interpersonal and communication skills.

• Strong logical, analytical skills and independent judgment

• Effective problem solving.

• Unexpired Puerto Rico driver’s license. The position requires to drive own motor vehicle.

Apply Now

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal.

The base pay for this position is $13.40 – $26.80 per hour. In specific locations, the pay range may vary from the range posted.