VOB and Auth Coordinator

Summary Statement

Active Life specializes in Prosthetic, Orthotic and Compression solutions by treating, nurturing and transforming clients' lives, empowering them into active opportunity through our unparalleled clinical services and products. In 2021, Active Life Orthotics and Prosthetics joined Ottobock Patient Care. This collaboration will support Active Life Orthotics and Prosthetics and Ottobock’s shared vision to advance innovation, improve access to care, and most importantly deliver the best possible patient care experiences.

We are looking for a Verification of Benefits & Authorization Coordinator at our Albuquerque, NM location.,  We value our employees and offer generous benefits in appreciation of their hard work and dedication.

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

• High school diploma or equivalent required; Associate degree in a relevant field preferred.​ 
• 2 years of experience in medical billing, preferably with orthotics, prosthetics and/or durable medical equipment industry preferred. 
• 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. 

Benefits

• Medical
• Vision
• Dental
• 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%