VOB & Auth Coordinator

Ottobock; Saginaw (MI); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

401k match up to 3.5%

Paid time off

Company holidays

Floating holidays

Company-paid life insurance

DailyPay by ADP

Health savings accounts with employer

Flexible spending account options

Short & long-term disability (company‑

100% company-paid disability

Job summary

Ottobock is seeking a hybrid Verification of Benefits & Prior Authorization Coordinator in Michigan to ensure accurate and timely prior authorization for our clinics. This role also supports verification of benefits as needed and collaborates with care teams to resolve insurance questions.

The ideal candidate will have strong communication, organization, HIPAA knowledge, and experience with HCPCS/ICD-10 coding, with at least 2 years in insurance verification and authorizations.

Qualifications

• Proven ability to verify insurance benefits and obtain prior authorization.
• Familiarity with HIPAA regulations and payer portals.
• Experience with HCPCS and ICD-10 codes is advantageous.

Responsibilities

• Perform insurance verifications and authorizations for orthotic and/or prosthetic devices.
• Collaborate with team members and communicate insurance requirements.
• Explain benefits and collect if possible, and manage authorization requests.
• Maintain patient profiles and update notes in the Medical Record system.

Skills

Verbal and written communications

Organizational skills

Typing 45 WPM

HIPAA compliance

Medicare knowledge

HCPCS coding knowledge

ICD-10 coding knowledge

Education

High school diploma or equivalent

Associate degree preferred

Job description

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Business Unit: Otto Bock Patient Care, LLC

Location: Saginaw, MI, US, 48604-2511

Contract Type: regular

Scope of employment: full-time

Contact Person:

Contact Information:

Job ID: 8626

Summary Statement

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.
• Experience 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
• 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.