VOB & Auth Coordinator

Ottobock SE & Co. KGaA; Rochester Hills (MI); Hybrid; USD 40,000 - 60,000; Full time

Benefits offered by this job

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

Job summary

A healthcare provider in prosthetics is looking for a hybrid Verification of Benefits & Prior Authorization Coordinator to oversee patient insurance verification and authorization. Candidates should have experience in the insurance verification field, strong communication abilities, and organizational skills. The role offers a chance to work in a meaningful industry, improve care access, and participate in employee development programs.

Qualifications

• 2 years of insurance verification and prior authorization experience.
• Experience with HIPAA regulations and insurance carrier websites.
• Knowledge of HCPCS and ICD-10 billing codes is helpful.

Responsibilities

• Perform insurance verifications and authorizations.
• Communicate requirements to team members regarding patient insurance coverage.
• Process all authorization requests via phone or online.

Skills

Verbal and written communication skills

Organizational skills

Computer skills

Typing speed of 45 WPM

Education

High school diploma or equivalent

Associate degree in a relevant field

Job description

Since 1944, Wright & Filippis (W&F) has built a well-earned reputation as a leader in prosthetics, orthotics, and accessibility solutions. Over 76yrs strong, we are committed to improving the lives of our patients.In 2020, Wright & Filippis joined Ottobock Patient Care. Together, we help people maintain or regain their freedom of movement. We are all about excellence and innovation – in the people we employ as well as in our products and services. Great people drive our culture and you'll you have the chance to grow in an ever-changing field, improve access to care, and most importantly deliver the best possible patient care experiences. Our employees are actively involved in shaping both our company and our industry.

We are currently looking for a hybrid Verification of Beneftis & Prior Authorization (VOB & Auth) Coordinator to be responsible for the accurate and timely completion of prior authorization requirements for our clinics in Michigan. 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

• Outstanding verbal and written communications skills.
• Exceptional organizational skills.
• Strong computer skills and minimum typing of 45 WPM
• High school diploma or equivalent required; Associate degree in a relevant field preferred.
• 2 years of insurance verification and prior authorization experience, preferably with orthotics, prosthetics and/or durable medical equipment industry.
• Experience with HIPAA regulations, Medicare, and insurance carrier websites. perience utilizing Healthcare Common Procedure Coding (HCPCS) and International Classification of Diseases (ICD) 10 billing codes helpful.
• 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