VOB & Auth Coordinator

Summary Statement

For many years, Carolina Orthotics & Prosthetics has provided the highest quality care to patients and we continue to do so by ways of improving our level of service. In 2021, Carolina Orthotics & Prosthetics joined Ottobock Patient Care and rebranded as Carolina Ottobock.care. This collaboration will support our shared vision to advance innovation, improve access to care, and most importantly deliver the best possible patient care experiences. Our extensive experience, compassion, and dedication to improving mobility distinguishes us from other providers. 

We are currently seeking a Verification of Benefits, Authorizations, & Patient Care Coordinator at our Spartanburg, SC location. This position supports both our Spartanburg and Asheville, NC clinics and may involve working in the Asheville clinic occasionally. The focus will be on Verification of Benefits & Authorizations, with front office duties as assigned/needed.   

Duties & Responsibilities

• ​​Perform insurance verifications and authorizations for prosthetic (or orthotic) devices for assigned offices 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. 
• Provide support at the front desk as needed, including checking patients in/out, answering calls, scheduling apppointments, etc
• ​Participate in training programs for continuing learning and development. 
• ​Comply with Corporate Compliance and HIPAA responsibilities. 
• ​​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%