Orthotics Benefits & Prior Authorization Coordinator

Ottobock; Maryland; Vor Ort; USD 42.000 - 64.000; Vollzeit

Benefits dieser Stelle

Medical

Vision

HSA

FSA

Life insurance

Paid time off

Company holidays

Floating holidays

Disability insurance

401k match 3.5%

DailyPay

Zusammenfassung

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.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

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

Ausbildung

High school diploma or equivalent

Associate degree preferred

Tools

HCPCS coding

ICD-10 coding

Jobbeschreibung

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.