VOB & Auth Coordinator

ottobock•Fairview Heights, IL

About The Position

P&O Care has served patients in Illinois and Missouri for decades. Known for our personal touch, clinical expertise, and community involvement, we've built a reputation for care that goes beyond the device. Today, as part of Ottobock.care, we continue that legacy—combining the strength of a global innovator with the relationships and responsiveness of a local clinic. This next step deepens our commitment to delivering exceptional orthotic and prosthetic care to the communities we serve. When you join Ottobock.care, you're not just starting a job. You’re becoming part of a movement that is redefining what’s possible in patient care. We are currently seeking a Verification of Benefits (VOB) and Prior Authorization (Auth) Coordinator to support our clinics in St, Louis, MO, Festus, MO and Fairview Heights, IL.

Requirements

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.

Nice To Haves

Experience utilizing Healthcare Common Procedure Coding (HCPCS) and International Classification of Diseases (ICD) 10 billing codes helpful.

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.
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.
Participate in training programs for continuing learning and development.
Comply with Corporate Compliance and HIPAA responsibilities.
Observe and communicate to management any opportunities to streamline processes and improve efficiency in day-to-day operations.
Perform other duties and special projects as assigned.