Medical Authorization Clerk

7 days ago


St Louis, Missouri, United States Ottobock Full time
Why Choose Ottobock?
Ottobock is a leader in the orthotic and prosthetic industry, with a commitment to advancing innovation and improving access to care. As a Verification of Benefits & Authorizations Coordinator, you will have the opportunity to work in a dynamic environment with a talented team of professionals. We offer a competitive salary range of $50,000 - $70,000 per year depending on experience.

Responsibilities
  • Verify insurance coverage and obtain authorizations from insurance carriers.
  • Collaborate with team members to communicate requirements related to patient insurance coverage.
  • Provide accurate benefits information to patients or customers.
  • Explain co-insurance and deductible amounts to patients or customers and collect payments when possible.
  • Process authorization requests through live communication with insurance carriers or online portals.
  • Create patient account profiles in the Medical Record system and manage medical documentation required for authorization.
  • Communicate changes in verification or authorization requirements to management for training and compliance updates.
  • Answer calls professionally and provide excellent customer service.
  • Participate in training programs for continuing learning and development.
  • Comply with Corporate Compliance and HIPAA responsibilities.
  • Identify opportunities to streamline processes and improve efficiency in day-to-day operations.
Requirements
  • High school diploma or equivalent required; Associate degree in a relevant field preferred.
  • 2 years of insurance verification and prior authorization experience, preferably in the orthotics, prosthetics, and/or durable medical equipment industry.
  • Experience with HIPAA regulations, Medicare, and insurance carrier websites.
  • Knowledge of Healthcare Common Procedure Coding (HCPCS) and International Classification of Diseases (ICD) 10 billing codes.
What We Offer
  • A comprehensive benefits package including medical, vision, dental, health savings accounts, flexible spending accounts, company-paid life insurance policy, paid time off, company holidays, floating holidays, short-term disability, long-term disability, and 401k match up to 3.5%.


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