Coordinator Medical Staff Services - Full Time

Ottobock

Maryland

On-site

USD 42,000 - 64,000

Full time

6 days ago

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Benefits offered by this job

Medical

Vision

HSA

FSA

Life insurance

Paid time off

Company holidays

Floating holidays

Disability insurance

401k match 3.5%

DailyPay

Job summary

Ability Prosthetics & Orthotics, part of Ottobock.care, seeks a Verification of Benefits & Prior Authorization Coordinator to support clinics in Pennsylvania and Maryland. You will handle verifications and prior authorizations for orthotic devices, collaborate across teams, and ensure accurate patient benefits information.

Successful candidates will have 2+ years in medical billing, HIPAA knowledge, and HCPCS/ICD-10 proficiency, with strong communication and organizational skills.

Qualifications

High school diploma or equivalent required; associate degree preferred.
Minimum 2 years’ medical billing experience, preferably in orthotics/prosthetics/DMEs.
Experience with HIPAA regulations and Medicare/insurance carrier websites.
Experience using HCPCS and ICD-10 billing codes.

Responsibilities

Verify and authorize insurance for orthotic/prosthetic devices to ensure coverage per code.
Collaborate with team; communicate insurance requirements for patients.
Explain benefits, co-insurance, and deductibles to patients or customers.
Process authorization requests via phone or insurance portals to obtain updated benefit info.
Create patient accounts in the Medical Record system and maintain documentation.
Inform management of changes in requirements for verification/authorization.
Answer calls timely with professional service; provide excellent customer service.
Participate in training; comply with HIPAA responsibilities.
Identify opportunities to streamline processes and improve day-to-day operations.
Perform other duties and special projects as assigned.

Skills

Independent work

Multitasking

Verbal & written communication

Organizational skills

Typing 45 wpm

Ten-key data entry

Telephone manner

Problem solving

Attention to accuracy

MS Office & databases

HIPAA compliance

Medical billing experience

HCPCS & ICD-10 coding

Insurance portals familiarity

Education

High school diploma or equivalent

Associate degree preferred

Tools

HCPCS coding

ICD-10 coding

Job description

Summary Statement

Ability Prosthetics & Orthotics has served patients in Pennsylvania and Maryland for decades. Known for our personal touch, clinical expertise, and community involvement, we've built a reputation for care that goes beyond the device. Today, as part of Ottobock.care, we continue that legacy—combining the strength of a global innovator with the relationships and responsiveness of a local clinic. This next step deepens our commitment to delivering exceptional orthotic and prosthetic care to the communities we serve.

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.

Duties & Responsibilities

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.