Payment Administration & Review Manager

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.

As the Payment Administration & Review Manager you will lead and manage the company’s healthcare payments received, review and administer the follow-up action in terms of coordinating with Insurances / patients / other parties as necessary across Diagnostic and DME verticals. Additionally, you will be responsible for recruiting, training, developing, and managing inhouse teams.

What You’ll Work On 

• Analyze EOBs and post manual payments
• Identify payers with payment posting issues
• Accurately correct payment posting errors by reviewing credits
• Investigate payment issues while addressing outstanding payment discrepancies and denials to expedite resolution
• Document all payment-related activities and communications thoroughly and accurately.
• Lead and close internal quality reviews and projects
• Respond to Insurance specific Additional document requests or other documentation as needed
• Maintain payor review trending analytics and report to the management
• Extend process improvement feedback and training to the internal Revenue Cycle team
• Perform other duties as assigned.​

Required Qualifications 

• Bachelor's Degree in Health Care administration, Finance/Accounting or related field
• 13 years experience in Revenue Cycle Management
• Knowledge of Accounting & Finance with Microsoft Excel , Power point for reporting
• 2+ years experience with revenue cycle management and billing for commercial and Medicaid plans with payment posting
• Strong attention to detail and accuracy
• Excellent communication and problem-solving skills
• Ability to manage multiple tasks and prioritize effectively
• Experience working with all commercial and government payor portals
• Knowledge of the denials, and corrections
• This role requires strong organizational skills and the ability to handle sensitive information with confidentiality.

Preferred Qualifications 

• MBA, CPA, CMA preferred, but not required

The base pay for this position is $112,000.00 – $224,000.00. In specific locations, the pay range may vary from the range posted.