Payment Administration & Review Subject Matter Expert

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. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. Youll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelors degree. A company recognized as a great place to work in dozens of countries worldwide 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 the best place to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Orlando, FL location in the Heart Failure Division. In Abbotts Heart Failure (HF) business, were developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives. The Payment Review & Administration SME is responsible for leading the review and analysis of healthcare payments received to ensure proper application and accuracy. This role coordinates with insurance payers and internal departments to resolve payment discrepancies, patient refunds, and prepares documentation for internal, QC remediation, and external payer audits. The SME will support training and onboarding initiatives, assist in developing and enhancing standard operating procedures, and contribute to process improvement initiatives across the payment review and administration functions. What Youll Work On Analyze and validate payment data to ensure accurate posting and identify underpayments, overpayments, or contractual discrepancies. Coordinate with insurance payers to resolve payment variances and request necessary adjustments, refunds, or supporting documentation. Prepare, validate, and submit patient refund packets in accordance with payer policies and company guidelines. Develop and maintain internal documentation to support payer audits, including compiling remittance advice, EOBs, medical documentation, and internal reconciliations. Act as a subject matter expert and resource for escalated payment or refund questions across departments. Facilitate training sessions for new and existing staff, ensuring consistent understanding of policies, tools, and workflows. Collaborate with cross-functional teams (Billing, Collections, Cash Posting, and Compliance) to identify and implement workflow enhancements. Assist in the creation, documentation, and refinement of standard operating procedures (SOPs) related to payment review, administration, and audit support. Monitor trends in denials, refunds, and payment patterns to proactively identify areas of concern or improvement. Support quality assurance efforts by auditing payment records and refund documentation for compliance and accuracy. Collaborate with RCM department leads to review QC remediation items, ensure timely resolution, and document any identified process gaps or necessary changes. Data collection and reporting Maintain payer review trending analytics and report to the management. General support Perform other duties as assigned. Required Qualifications Bachelors degree or Health Care Administration, Finance/Accounting or Minimum 10 years of experience Revenue Cycle experience Knowledge of Accounting & Finance with Microsoft Excel and Power Point for reporting. Preferred Qualifications Experience in Durable Medical Equipment (DME)Industry preferred Apply Now Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com 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. The base pay for this position is $75,300.00 $150,700.00 In specific locations, the pay range may vary from the range posted. JOB FAMILY: Accounting & Reporting DIVISION: HF Heart Failure LOCATION: United States > Orlando : 30 S. Keller Road ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Not specified MEDICAL SURVEILLANCE: Not Applicable SIGNIFICANT WORK ACTIVITIES: Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous walking for prolonged periods (more than 2 hours at a time in an 8 hour day) Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans. EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf Abbott is about the power of health. For more than 135 years, Abbott has been helping people reach their potential because better health allows people and communities to achieve more. With a diverse, global network serving customers in more than 160 countries, we create new solutions across the spectrum of health, around the world, for all stages of life. Whether its next-generation diagnostics, life-changing devices, science-based nutrition, or novel reformulations, we are advancing some of the most innovative and revolutionary technologies in healthcare, helping people live their best lives through better health. The people of Abbott come to work each day with relentless energy, enthusiasm and a promise to enhance the health and well-being of millions of people. They push the boundaries to help manage and treat some of lifes greatest health challenges. We invite you to explore opportunities at Abbott, to see if your talents and career aspirations may fit with our openings. An equal opportunity employer, Abbott welcomes and encourages diversity in our workforce. Follow Us: Facebook LinkedIn YouTube Twitter