VOB & Auth Coordinator

Ottobock; Pennsylvania; Presencial; USD 42.000 - 66.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical

Vision

HSA with employer contribution

FSA options

Life insurance

Paid time off

Company holidays

Floating holidays

Disability insurance (100%)

401k match 3.5%

DailyPay

Descripción de la vacante

Ottobock.care is seeking a Verification of Benefits & Prior Authorization Coordinator to support our Pennsylvania and Maryland clinics. This role handles insurance verifications and prior authorizations for orthotic and prosthetic devices, ensuring accurate benefits are documented and communicated to patients.

You will collaborate with teams, process requests via phone and portals, maintain patient records, and uphold HIPAA and compliance standards.

Formación

• Ability to work independently.
• 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 good judgment in resolving customer service issues.
• Ensures assigned work is complete and accurate by the end of each shift.
• Strong computer skills; Proficient in MS Office and databases.
• HIPAA regulations and Medicare/insurance carrier websites experience.
• Experience with HCPCS and ICD-10 billing codes.
• Minimum 2 years’ medical billing experience, preferably in orthotics/prosthetics/DMEs.

Responsabilidades

• Perform insurance verifications and authorizations for orthotic and/or prosthetic devices.
• Collaborate with team members and communicate insurance requirements.
• Communicate accurate benefits to patients or customers.
• Explain co-insurance and deductible amounts and collect when possible.
• Process authorization requests via phone or online portals.
• Create patient accounts and manage documentation in the Medical Record system.
• Inform management of changes in requirements for training/compliance.
• Answer calls promptly with professional service.
• Participate in training programs for ongoing development.
• Comply with HIPAA and Corporate Compliance.
• Identify opportunities to streamline processes and improve efficiency.
• Perform other duties and special projects as assigned.

Conocimientos

Excellent verbal and written comms

Outstanding organizational skills

MS Office proficiency

Strong computer skills

Independent work capability

Prioritization of multiple tasks

Professional telephone manner

Typing 45 wpm

HIPAA knowledge

Educación

Associate degree in a relevant field

High school diploma or equivalent

Herramientas

MS Office

Billing software

Descripción del empleo

Contract Type: regular

Scope of employment: full-time

Location: Remote, PA, US

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.
• 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
• 401k match up to 3.5%
• DailyPay by ADP

Diversity at Ottobock

We believe in mutual respect, enjoyment at work, and a culture where everyone feels valued. We are committed to diversity, equity, and inclusion, and welcome all applications - regardless of gender, age, nationality, disability, ethnic or social background, religion, or sexual orientation. We give special consideration to individuals with severe disabilities when equally qualified.

Your future at Ottobock

Ottobock’s products and services combine over 100 years of tradition with outstanding innovation in the fields of prosthetics, neuro-orthotics, and exoskeletons. Ottobock develops innovative fitting solutions for people with limited mobility and is driving the digitalisation of the industry. Founded in Berlin in 1919, the company has business activities in 45 countries with nearly 9,300 employees worldwide and operates the largest international patient care network with around 400 patient care clinics. Ottobock’s mission of improving freedom of movement, quality of life and independence is deeply rooted in the company's DNA, as is its social commitment: Ottobock has been a partner and supporter of the Paralympics since 1988.