[Hiring] Verification of Benefits & Prior Authorization Coordinator @Ottobock

Role Description

We are currently looking for a Verification of Benefits & Prior Authorization Coordinator to support our clinics in Pennsylvania and Maryland. The VOB Auth Coordinator is responsible for the accurate and timely completion of all prior authorization requirements for patients across the company. This person will also support verification of benefits as needed.

• Perform insurance verifications and authorizations for orthotic and/or prosthetic devices to ensure coverage for each code used for each device ordered for a patient.
• Collaborate with other team members and communicate requirements pertaining to their patient’s insurance coverage.
• Communicate accurate benefits to the patient or applicable customer.
• Explain co-insurance and deductible amounts to patient or applicable customer and collect if possible.
• Process all authorization requests that are required by the patient’s insurance carrier through live communication via phone with carrier’s or using insurance carrier online portals to obtain the most up to date benefit information.
• Create patient account profile in the Medical Record system, manage the collection of medical documentation required to secure authorization for patient cases across all offices, and update patient file with appropriate notes accordingly.
• Communicate any changes in requirements for verification or authorization by insurance carriers to manager for training and compliance updates.
• Answer calls in a timely and professional manner and provide excellent customer service.
• Participate in training programs for continuing learning and development.
• Comply with Corporate Compliance and HIPAA responsibilities.
• Observe and communicate to management any opportunities to streamline processes and improve efficiency in day-to-day operations.
• Perform other duties and special projects as assigned.

Qualifications

• Ability to work independently.
• Ability to prioritize and manage multiple tasks to completion.
• Outstanding verbal and written communications skills.
• Exceptional organizational skills.
• Minimum typing of 45 wpm; Excellent ten-key skills.
• Professional telephone manner: Ability to hear, communicate and comprehend by telephone for prolonged periods.
• Advanced problem-solving skills and demonstrated ability to use good judgment in resolving customer service issues.
• Ensures assigned work is complete and accurate by the end of work shift daily, weekly, and monthly.
• Strong computer skills; Proficient in MS Office and databases.
• High school diploma or equivalent required; Associate degree in a relevant field preferred.
• Minimum 2 years’ experience in medical billing, preferably with orthotics, prosthetics, and/or durable medical equipment industry.
• Experience with HIPAA regulations and Medicare and insurance carrier websites.
• Experience utilizing Healthcare Common Procedure Coding (HCPCS) and International Classification of Diseases (ICD) 10 billing codes.

Benefits

• Medical
• Vision
• Dental
• Health savings accounts with employer contribution
• Flexible spending account options
• Company-paid life insurance policy
• Paid time off
• Company holidays
• Floating holidays
• 100% company-paid short & long-term disability
• 401k match up to 3.5%
• DailyPay by ADP