Summary Statement

For more than a century, Ottobock has pursued the mission of helping people living with limb loss or mobility challenges regain or maintain their freedom of movement. We do this through the development of leading prosthetic, orthotic and wheelchair innovation and an unwavering commitment to delivering superior patient care experiences. As a growing healthcare company, we continue to invest in both our people and new service offerings. With more than 8,000 employees worldwide and 1,100 across North America, we are dedicated to advancing the O&P industry and improving the lives of the people served by it.

We are currently seeking a Verification of Benefits (VOB) Representative in Austin, TX. 

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.
• Communicate co-insurance and deductible amounts to the patient or applicable customer and collect if possible.
• Process all authorization requests required by the patient’s insurance carrier through live communication via phone with carriers or using insurance carrier online portals to obtain the most up-to-date benefit information.
• Create patient account profile in the billing system, manage the collection of medical documentation required to secure authorization for patient cases across all offices, and update the patient file with appropriate notes accordingly.
• Use active verbal and written communication of payor medical necessity requirements with clinical and non-clinical staff.
• Communicate any changes in requirements for verification or authorization by insurance carriers to the Manager/Supervisor for training and compliance updates.
• Provide problem-solving approaches to claim verification and authorization processes and formulates a plan of action for training considerations by the Manager/Supervisor.
• Answer calls in a timely and professional manner and provides signature customer service.
• Participate in training programs for continuous learning and development.
• Adhere to HIPAA and PHI Regulations.
• Observe and communicate to management any opportunities to streamline processes and improve efficiency in day-to-day operations.
• Perform other duties as assigned.

Qualifications

• Ability to prioritize and manage multiple tasks to completion 
• Outstanding verbal and written communications skills 
• Exceptional organizational skills 
• Exceptional communications/interpersonal skills 
• Excellent PC skills; typing of 45 wpm, excellent ten key skills 
• Proficient using Microsoft Office Software 
• Works well with other team members 
• Ability to hear, communicate and comprehend by telephone for prolonged periods of time 
• Advanced problem-solving skills and demonstrated ability to use good judgment in resolving customer service issues 
• High school diploma or equivalent required; Associate degree in a relevant field preferred.
• Minimum 2 years’ experience in medical billing, preferably with orthotics, prosthetics, and/or durable medical equipment industry.
• Experience with HIPAA regulations and 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%