Insurance Verification & Prior Authorization Coordinator

Summary Statement

Scott Sabolich Prosthetics and Research (SSPR) has been focused on innovative prosthetic design to improve the lives of patients since 1947. Compassionate care is at the heart of everything we do. We start by listening, then we create a tailored solution with seamless fit and unsurpassed performance to patients from all over the world. In 2019, SSPR 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 looking for a Verification of Benefits & Authorization Coordinator at our Dallas, TX location.

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. 

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%