Patient Therapy Access Specialist – Plano, Texas
Category: Medical and Clinical Affairs
Company: Abbott Laboratories
Abbott is a global leader in healthcare innovation, offering advanced technologies across diagnostics, medical devices, nutrition, and branded generic medicines. With more than 114,000 employees in over 160 countries, Abbott is committed to enhancing patient outcomes and expanding access to life-changing therapies.
Role Overview
Abbott’s Plano, Texas location is seeking a Patient Therapy Access Specialist (PTA). This is a full-time, on-site position (Monday–Friday, 8 AM–5 PM). The PTA Specialist plays a key role in supporting patients by coordinating pre-certification, pre-determination, and prior authorization processes required for medical procedures and therapies recommended by physicians.
Key Responsibilities
Manage multiple patient cases concurrently within required timeframes.
Adhere to corporate policies related to data usage, storage, and privacy.
Verify insurance benefits and submit prior authorization requests promptly.
Conduct timely follow-ups with payers on pending authorizations.
Review clinical documentation for completeness and accuracy for each procedure.
Secure authorization for facility, equipment, and provider services.
Coordinate with provider offices to obtain required clinical information.
Collaborate with utilization review departments of insurance carriers.
Support appeals processes when necessary.
Maintain accurate records, communication logs, and workflow documentation.
Required Qualifications
Associate degree in Nursing/Home Health (LVN/LPN) or a related field, or equivalent education and experience.
Minimum 2 years of experience in a utilization review, authorization, or similar medical approval environment.
General knowledge of private insurance, Workers’ Compensation, and Medicare utilization review guidelines.
Basic understanding of CPT codes and ICD-10-CM.
Proficiency in Microsoft Word and Excel.
Strong verbal and written communication skills.
Ability to meet deadlines and manage high-volume workloads.
Excellent attention to detail and organizational skills.
Ability to collaborate effectively within a team.
Ability to travel up to 5%.
Preferred Qualifications
Experience in medical device or DME billing.
Knowledge of medical terminology.
Experience with medical billing software.
Ability to present or train small groups.
Proficiency in navigating insurance payer portals (Aetna, Cigna, UnitedHealthcare, Blue Cross Blue Shield).
Ability to submit, track, and manage prior authorization and pre-certification requests efficiently.
Understanding of payer-specific documentation and approval requirements.
Ability to troubleshoot portal or authorization issues and escalate as needed.
Compensation
Hourly Pay Range: USD 20.05 – 40.15
(Actual compensation may vary based on location and experience.)
Why Join Abbott
Career growth opportunities within a global organization.
Eligibility for free medical coverage through the Health Investment Plan (HIP) PPO (conditions apply).
Competitive retirement savings plan with strong employer contribution.
Tuition reimbursement and educational benefits including FreeU and Freedom 2 Save.
Recognized globally as a top employer for diversity, leadership, science, and workplace culture.
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