Top 32 Prior authorization specialist Jobs in Schaumburg, Il

Specialist, Access and Reimbursement
AbbVie —North Chicago, IL
- $65,500 - $125,500 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Continuous improvement
- Paid holidays
- Health insurance
Patient Access Representative - Oncology - Days
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Full-time
- Hospital
- HIPAA
- Mid-level
- Free parking
- Wellness program
Insurance and Prior Authorization Manager
USA Clinics Group —Northbrook, IL
- $70,000 - $85,000 a year
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
- 401(k)
- Paid time off
Quick Apply
13d
Patient Access Specialist II - Emergency Department (Evenings) 20 hrs/week
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Part-time
- HIPAA
- Mid-level
- Windows
- Free parking
- Wellness program
Patient Access Representative II
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Full-time
- Acute care
- HIPAA
- Mid-level
- Free parking
- Wellness program
Patient Care Specialist - Data Entry and Prior Authorization
Carepoint Healthcare LLC —Schaumburg, IL
- $20 - $23 an hour
- Full-time
- Mid-level
- Data entry
Quick Apply
Patient Care Specialist - Certified Pharmacy Technician
Carepoint Healthcare LLC —Schaumburg, IL
- $20 - $22 an hour
- Full-time
- Mid-level
Quick Apply
Benefit Verification Specialist
Retina Institute of Illinois —Huntley, IL
- $21.43 - $22.43 an hour
- Full-time
- Computer literacy
- Mid-level
- Office
- Health savings account
- AD&D insurance
Referral Support Specialist (Hybrid)
ERIE FAMILY HEALTH CENTER —Chicago, IL
- $19 - $23 an hour
- Full-time
- Spanish
- Computer literacy
- English
- Paid holidays
- Disability insurance
12d
Insurance Verifier/Financial Counselor
Saint Joseph Hospital - Elgin —Elgin, IL
- $16.35 - $23.68 an hour
- Full-time
- Hospital
- Computer literacy
- Research
- Health insurance
- Dental insurance
3d
Insurance Verification Specialist
USA Clinics Group —Northbrook, IL
- $48,000 - $54,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Insurance Verifier/Financial Counselor
Resurrection Medical Center —Chicago, IL
- $17.15 - $24.42 an hour
- Full-time
- Hospital
- Computer literacy
- Research
- Health insurance
- Dental insurance
Utilization Review/Reimbursement Specialist
Sinai Chicago —Chicago, IL
- Full-time
- Nursing
- Hospital
- Customer service
- Health savings account
- AD&D insurance
Quick Apply
Patient Access Specialist
Advanced Behavioral Health Services —Naperville, IL
- $18 - $24 an hour
- Part-time
- Microsoft Word
- Customer service
- In-person
- Health insurance
- Dental insurance
Quick Apply
6d
Insurance Verification Specialist
Walgreens —Deerfield, IL
- $16.50 - $22.00 an hour
- Computer literacy
- Mid-level
- Windows
3d
Qualification Specialist
AdaptHealth, LLC —Elmhurst, IL
- $23 - $24 an hour
- Extended hours
- Hybrid work
- HIPAA
- Mid-level
- Office
Quick Apply
6h
Registration
RAYUS Radiology —Geneva, IL
- $16.09 - $23.27 an hour
- Part-time
- Bilingual
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
4d
Referral Coordinator
Primecare Community Health —Chicago, IL
- $17.05 - $22.50 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Profit sharing
- 403(b) matching
Quick Apply
12d
Medical Insurance Verification Specialist
Grand Vein Specialists —Chicago, IL
- From $17 an hour
- Full-time
- HIPAA
- In-person
- Medical terminology
- Health insurance
- Dental insurance
Quick Apply
5d
Customer Service Representative
QUIPT HOME MEDICAL INC —Buffalo Grove, IL
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply

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Specialist, Access and Reimbursement

AbbVie -
North Chicago, IL

Apply Now

Job Details

Full-time
$65,500 - $125,500 a year

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Customer communication

Full Job Description

Company Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.

Job Description

Serve as a skilled specialist in advanced access knowledge and skills, partnering closely with Field Reimbursement Managers (FRMs) and Health Care Providers (HCPs) within assigned territories to optimize patient outcomes. The individual will be highly proficient in understanding local plans and all facets of prior authorization, medical exception, and appeal processes. Exceptional communication skills are crucial, as the role requires taking inbound and outbound calls, clearly educating both FRMs and HCPs to effectively diminish access barriers for patients. Responsible to educate on the access and reimbursement support tools available at AbbVie, advising HCPs on patient program eligibility, and educating HCP offices on payer processes and procedures. With strong critical thinking abilities, the individual will adeptly assess workloads at the account level, ensuring seamless communication and efficient interactions.

Responsibilities

Collaborate with Field Reimbursement Managers (FRMs) and Health Care Providers (HCPs) in designated territories to enhance patient access and support positive health outcomes.

Educate FRMs and HCPs on patient support programs, including tools and services for access and reimbursement. Inform them about resources available to resolve patient access challenges.
Provide local expertise on plans and efficiently educate on all aspects of prior authorization, medical exception, and appeal processes within assigned region for all inbound and outbound calls.
Develop and sustain relationships with relevant providers within the territory. Utilize strong communication skills to facilitate clear, concise, and efficient information exchanges with FRMs, HCPs, and other stakeholders.
Take ownership of process improvement initiatives, continuously seeking ways to enhance system efficiencies and patient access strategies.
Maintain an understanding of current business procedures, deviations, and case processing for all brands and channel sources, as needed.
Utilize critical thinking to assess and prioritize workloads at the account level, ensuring optimal resource allocation and seamless operations.
Monitor and streamline communication and interactions between stakeholders to promote efficiency and reduce redundancies.
Meet or exceed department standards relative to performance metrics. Maintain a work environment that upholds privacy standards required by law and AbbVie policy. Understand and comply with all required training, including adherence to federal, state, and local laws, SPII policies and guidelines, and the policies and procedures of Complete Patient Access and AbbVie. Perform additional tasks, activities, and projects as deemed necessary by management.

#LI-AL1

Qualifications

Bachelor’s degree or Associate Degree in health sciences or business preferred. Comparable or relevant experience will be considered.
3-5 years of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization, appeals, and specialty pharmacy operations.
Demonstrated understanding of the rules, regulations and risks associated with provision of reimbursement support services. Demonstrated deep technical understanding of coverage, coding, payment and distribution of specialty products and the rules and regulations that govern provision of reimbursement support.
Strong understanding of access and reimbursement support service centers and how to effectively interact in a compliant fashion.
Thorough understanding of the technical payer policy processes, systems and requirements for coverage.
Must have professional written and verbal communication skills to interact with and build and maintain relationships with all levels of the organization. Must maintain a positive service image at all times even when dealing with challenging issues and unsatisfied customers.

Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:

The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this roleat the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on manyfactors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
This job is eligible to participate in our short-term incentive programs.

Note: No amount of pay is considered to be wages or compensation until such amount isearned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that areallocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolutediscretion, consistent with applicable law.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.

US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

https://www.abbvie.com/join-us/reasonable-accommodations.html

Apply Now

Refine Your Search

prior authorization specialist jobs in schaumburg, il

Specialist, Access and Reimbursement

Patient Access Representative - Oncology - Days

Insurance and Prior Authorization Manager

Patient Access Specialist II - Emergency Department (Evenings) 20 hrs/week

Patient Access Representative II

Patient Care Specialist - Data Entry and Prior Authorization

Patient Care Specialist - Certified Pharmacy Technician

Benefit Verification Specialist

Referral Support Specialist (Hybrid)

Insurance Verifier/Financial Counselor

Insurance Verification Specialist

Insurance Verifier/Financial Counselor

Utilization Review/Reimbursement Specialist

Patient Access Specialist

Insurance Verification Specialist

Qualification Specialist

Registration

Referral Coordinator

Medical Insurance Verification Specialist

Customer Service Representative

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