Specialist, Medical Insurance II
AbbVieHerediaFull TimeOperations
Remotely
insurancemedicaidpharmacy benefitsmedicare part dmicrosoft officeprior authorizationbenefit investigation
Job Description
📋 Description
- Point of contact for HCPs and patients on access challenges.
- Subject matter expert in insurance, prior authorizations, and funding options.
- Provide explanations of benefits and assist with financial access questions.
- Maintain access to insurance intelligence for the access team.
- Cross-functional collaboration to improve processes and productivity.
🎯 Requirements
- High school diploma or GED; degree preferred.
- 2-4 years in healthcare/reimbursement; call center or specialty pharmacy preferred.
- Strong knowledge of commercial/government insurance programs, prior authorization, and appeals.
- Experience with Medicare Part D, Medicaid, private payers, and benefits.
- Excellent written and verbal communication; detail-oriented; able to multitask.
- Proficient with Microsoft Office and other systems.
🎁 Benefits
- AbbVie benefits package includes health, dental, and life insurance.
- Flexible hybrid work model; some on-site support.
- Employee assistance, training, and professional development options.
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