Clinical Specialist

MedStar Health; Austin (TX); Remote; USD 85,000 - 110,000; Full time

Job summary

A leading healthcare company is seeking a Clinical Specialist to join its remote AllClaims Team. The ideal candidate will have extensive experience in prosthetics and orthotics, ensuring accuracy and compliance of claims. You'll work collaboratively with clinicians and contribute to superior patient care experiences through innovative prosthetic solutions.

Benefits

Life insurance

401(k)

Paid time off

Health savings accounts

Flexible spending accounts

Qualifications

• 5+ years of clinical experience required.
• Licensed or meet criteria for licensure in prosthetics.

Responsibilities

• Conduct reviews of medical records for compliance.
• Identify opportunities to clarify documentation.
• Respond to claim inquiries and denials.

Skills

Organizational skills

Proficiency with technology

Effective verbal communication

Effective written communication

Critical thinking

Analytical skills

Education

Advanced degree in Prosthetics

Certification in Prosthetics or Prosthetics and Orthotics

Applicable licensure in Prosthetics or Prosthetics and Orthotics

Job description

life insurance, flexible benefit account, parental leave, paid time off, 401(k)

United States, Texas, Austin

Start from: 07/14/2025

Company: Otto Bock Orthopaedic Service LLC

Department: Clinical

Location: Remote

Type of position: Full-time

Remote possible: Remote

Job ID: 7814

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Summary Statement

For more than a century, Ottobock has pursued the mission of helping people living with limb loss or mobility challenges regain or maintain their freedom of movement. We do this through the development of leading prosthetic, orthotic innovation and an unwavering commitment to delivering superior patient care experiences. As a growing healthcare company, we continue to invest in both our people and new service offerings. With more than 10,000 employees worldwide and 1,100 across North America, we are dedicated to advancing the O&P industry and improving the lives of the people served by it.

We are looking for an experienced CPO or CP to join our AllClaims Team as a Clinical Specialist. Great opportunity for someone looking to work remote!

The position of Clinical Specialist requires clinical expertise, patient care experience, knowledge of billing and coding, ability to communicate clearly, and teamwork. This opportunity is for a Certified Prosthetist or Certified Prosthetist Orthotist with at least 5 years of clinical experience. The ideal candidate will be licensed or meet the criteria for licensure in the states where Ottobock AllClaims billing is offered. The Clinical Specialist will review prosthetic claims prior to billing for accuracy, compliance, and thoroughness. He/she will communicate their assessment internally with the AllClaims team and externally with the AllClaims customers. Patient evaluation and interaction will be required for some claims to augment documentation provided and for compliance with payers.

Duties & Responsibilities

ESSENTIAL JOB FUNCTIONS

• Strong organizational skills
• Proficiency with technology
• A Team Player who is able to work independently with minimal supervision
• Effective verbal and written communication skills
• Ability to interact effectively with clinicians and non-clinicians in a professional manner

DUTIES AND RESPONSIBILITIES

• Conduct comprehensive initial and follow-up concurrent reviews of medical records in a timely manner
• Identify opportunities to clarify incomplete or inadequate documentation and offer guidance for resolution
• Understanding and application of medical policy criteria for claim compliance
• Respond to claim inquiries and denials in a timely manner
• Comply with HIPAA and code of conduct policies and procedures

Qualifications

PREFERRED SKILLS

• Familiarity with billing and claim management in Prosthetics and Orthotics
• Critical thinking, analytical skills, and ability to resolve problems
• Excellent communication skills, employing tact and effectiveness
• Strong typing and computer skills
• Working knowledge of Medicare LCD and billing policies

EDUCATION

• Advanced degree in Prosthetics
• Certification in Prosthetics or Prosthetics and Orthotics
• Applicable licensure in Prosthetics or Prosthetics and Orthotics
• Maintain license and certification

Compensation Data

Salary Disclosure Range: $85,000.00 - $110,000.00 (with annual bonus potential)

Medical

Vision

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