ABBVIE INC Specialist, Insurance I Salary in the United States

How much does a Specialist, Insurance I make at companies like ABBVIE INC in the United States? The average salary for Specialist, Insurance I at companies like ABBVIE INC in the United States is $48,560 as of May 25, 2023, but the range typically falls between $43,009 and $54,110. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, helps you determine your exact pay target.  View the Cost of Living in Major Cities


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What does a Specialist, Insurance I do at companies like ABBVIE INC?

About AbbVie
AbbVie’s mission is to discover and deliver innovative medicines 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: immunology, oncology, neuroscience, eye care, virology, women’s health and gastroenterology, in addition to products and services across its Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at Follow @abbvie on Twitter, Facebook, Instagram, YouTube and LinkedIn.

  • Provide subject matter expertise on medical and prescription insurance coverage/verification, claim billing, medication prior authorization and appeal filing, and alternate financial assistance opportunities. Accurately document information in the appropriate systems and formats. Communicate the status of the referral to the physician and the patient via phone, fax, and/or the core pharmacy system as per established policies and procedures.
  • Assist offices through the entire documentation and filing process for prior authorizations and appeals. Monitor the status to ensure a rapid turnaround resulting in procurement of the drug product for the patient.
  • Use internal and web tools and communicate and collaborate with health insurance payors and providers to investigate pharmacy and medical benefits. Obtain and confirm information to maintain Pharmacy Solutions’ payor intelligence resources.
  • Accurately transmit prescription test claims to verify prescription coverage. Identify, research, and request the addition of new health plan pay plans and verify the status of medical contracts from Accounts Receivable to assure business continuity for prescription processing requirements.
  • Work cross-functionally to identify and share opportunities for process and productivity improvement and to troubleshoot and/or resolve situations, taking ownership as needed.
  • Meet or exceed department standards relative to performance metrics. Take responsibility and accountability for the day-to-day execution of tasks, and is responsible for providing periodic progress reports on goals and metrics.
  • Decide whether to reinvestigate or accept obtained benefit verification based on reasonableness and accuracy. Determine whether to escalate issues/concerns to management for review, guidance, and resolution. Participate in quality monitoring and in identifying and reporting quality issues.
  • Understand and comply with all required training, including adherence to federal, state, and local pharmacy laws, HIPAA policies and guidelines, and the policies and procedures of Pharmacy Solutions and AbbVie.
  • Perform additional tasks, activities, and projects as deemed necessary by management.

  • High school diploma or GED equivalent required. Degree preferred.
  • Meet Pharmacy Technician licensure and certification requirements by start date in accordance with the Illinois Pharmacy Practice Act.
  • 1-3 years of work experience in a healthcare or reimbursement setting; call center preferred.
  • Demonstrated strong, accurate technical skills. Must be detail oriented. Must have thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations.
  • Proven leadership skills. Demonstrated ability to lead and participate within a team, manage multiple priorities and meet associated timelines while maintaining accuracy.
  • Professional written and verbal communication skills required. Ability to maintain a positive service image at all times even when dealing with challenging issues and unsatisfied customers.
  • Proven organizational and problem solving skills, elevating to management when appropriate.
  • Skilled with the use of the Microsoft Office Suite and the ability to use and effectively learn and navigate other computer systems.

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Equal Employment Opportunity
At AbbVie, we value bringing together individuals from diverse backgrounds to develop new and innovative solutions for patients. As an equal opportunity employer we do not discriminate on the basis of race, color, religion, national origin, age, sex (including pregnancy), physical or mental disability, medical condition, genetic information gender identity or expression, sexual orientation, marital status, protected veteran status, or any other legally protected characteristic.
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$43,009 Low Average $48,560 High $54,110

Understand the total compensation opportunity for Specialist, Insurance I at companies like ABBVIE INC, base salary plus other pay elements

Average Total Cash Compensation

Includes base and annual incentives

The chart shows total cash compensation for the ABBVIE INC Specialist, Insurance I in the United States, which includes base, and annual incentives can vary anywhere from $43,009 to $54,110 with an average total cash compensation of $48,560. Total compensation includes the value of any benefits received in addition to your salary and some of the benefits that are most commonly provided within a total compensation package including bonuses, commissions, paid time off, and Insurance. The total cash compensation may get paid differently by industry, location, and other factors.
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