VOB Representative

Company: Aston Carter
Location: Bonita Springs
Posted on: March 14, 2023

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