Medical Benefits & Prior Authorization Coordinator — Hybrid

Ottobock; Elm (PA); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical

Vision

Dental

Health savings account

Flexible spending account

Company-paid life insurance

Paid time off

Company holidays

Floating holidays

401k match

DailyPay

Job summary

Ability Prosthetics & Orthotics, part of Ottobock.care, seeks a Hybrid Verification of Benefits & Prior Authorization Coordinator to support clinics in Pennsylvania and Maryland. This role handles verification of benefits and prior authorizations with 2 days in-office and 3 days remote work.

You will verify coverage, communicate with carriers, assist patients, and ensure accurate documentation while complying with HIPAA and billing standards.

Qualifications

• Ability to work independently and prioritize multiple tasks.
• Excellent verbal and written communication skills.
• Strong organizational skills and attention to detail.
• Minimum 2 years’ experience in medical billing, preferably orthotics/prosthetics/DMEs.
• Experience with HIPAA, Medicare and insurance carrier websites.

Responsibilities

• Perform insurance verifications and authorizations for orthotic and/or prosthetic devices.
• Collaborate with team and communicate requirements pertaining to patient’s insurance coverage.
• Explain benefits to patient or applicable customer.
• Explain co-insurance and deductible amounts and collect if possible.
• Process all authorization requests via phone or online portals to obtain up-to-date benefit information.
• Create patient accounts in Medical Record system and manage required documentation.
• Notify managers of changes in carrier requirements for training and compliance.
• Provide timely, professional customer service and answer calls.
• Participate in training and comply with Corporate Compliance and HIPAA.

Skills

Insurance verifications

Prior authorizations

Communication

Organizational skills

Typing 45 wpm

Phone etiquette

HIPAA knowledge

Education

High school diploma or equivalent

Associate degree preferred

Tools

MS Office

HCPCS & ICD-10 billing codes

Insurance carrier portals

Job description

Ability Prosthetics & Orthotics, part of Ottobock.care, seeks a Hybrid Verification of Benefits & Prior Authorization Coordinator to support clinics in Pennsylvania and Maryland. This role handles verification of benefits and prior authorizations with 2 days in-office and 3 days remote work.

You will verify coverage, communicate with carriers, assist patients, and ensure accurate documentation while complying with HIPAA and billing standards.