VOB Representative
Company: Aston Carter
Location: Bonita Springs
Posted on: March 14, 2023
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Job Description:
Description:Duties and 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. Service Center
Administrator Duties --- Maintain the Service Center in accordance
with all established standards required by Payers, Local and
Federal Governments, Accrediting Agency, and Ottobock's Policies.
--- Audit the service center per accreditation requirements and
company standards monthly and submit audit paperwork to the
Compliance Specialist. --- Correct deficiencies as they are
identified. --- Consistently demonstrate professional demeanor
(including dress code, company property use, etc.). --- Greet
visitors and participate in successfully completing regulatory
and/or accreditation site visits/audits. --- Additional duties as
assigned.Skills:Administrative support, insurance verification,
Data entry, Health care, Medical terminology, Patient serviceTop
Skills Details:Administrative support,insurance
verificationAdditional Skills & Qualifications:--- 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.
About Aston Carter: Please Note: Scammers are posing as Aston
Carter. We'll never contact you via Gmail, Telegram, or WhatsApp
and we'll never solicit money from you. At Aston Carter, we're
dedicated to expanding career opportunities for the skilled
professionals who power our business. Our success is driven by the
talented, motivated people who join our team across a range of
positions - from recruiting, sales and delivery to corporate roles.
As part of our team, employees have the opportunity for long-term
career success, where hard work is rewarded and the potential for
growth is limitless. Established in 1997, Aston Carter is a leading
staffing and consulting firm, providing high-caliber talent and
premium services to more than 7,000 companies across North America.
Spanning four continents and more than 200 offices, we extend our
clients' capabilities by seeking solvers and delivering solutions
to address today's workforce challenges. For organizations looking
for innovative solutions shaped by critical-thinking professionals,
visit . Aston Carter is a company within Allegis Group, a global
leader in talent solutions. The company is an equal opportunity
employer and will consider all applications without regards to
race, sex, age, color, religion, national origin, veteran status,
disability, sexual orientation, gender identity, genetic
information or any characteristic protected by law. If you would
like to request a reasonable accommodation, such as the
modification or adjustment of the job application process or
interviewing process due to a disability, please call or email for
other accommodation options. However, if you have questions about
this position, please contact the Recruiter located at the bottom
of the job posting. The Recruiter is the sole point of contact for
questions about this position.
Keywords: Aston Carter, Bonita Springs , VOB Representative, Other , Bonita Springs, Florida
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