Accounts Receivable Claims Specialist

Summary Statement 

At Ottobock.care, we are the result of a collaboration between specialized orthotic and prosthetic clinics, each with its own unique legacy and expertise. Our global reach unites clinicians and clinics from across the world, bound by a shared commitment to delivering exceptional orthotic and prosthetic solutions. 
When you join Ottobock.care, you're not just starting a job. You’ll help create the structure that supports scalable, patient-centered growth. 

We are looking for an Accounts Receivable Specialist to handle a high volume of claims and ensure services are paid by the insurance payor. This includes working correspondence, appeals, and denials. 

Duties & Responsibilities

• Process daily tasks assigned from the billing software system.  
• Enter and process data related to patient care and reimbursement.
• Check to ensure all patient documents are on file and completed correctly.
• Connect with insurance payors by telephone or online regarding non-payment or short payment on outstanding claims.
• Respond to insurance payor correspondence.
• Contact patients on outstanding balances, assist with payment plans and financial hardships.
• Review and resolve denied claims and resubmit corrected claims to payors for reprocessing.
• Work AR aging reports for payors and patients.
• Review claims forms to primary, secondary, and tertiary insurance payors as needed.
• Submit write-offs, adjustments, and refunds.
• Ensure month-end billing deadlines are met.
• Work accounts promptly to ensure claims are processed appropriately.
• Provide exceptional customer service to all internal and external customers.
• Review HCPC, modifiers, and ICD-10 codes for accuracy while keeping up with compliance and coverage criteria to update employees as needed.
• Meets work standards by following productivity, quality, and customer service standards established by the company.
• Complies with Corporate Compliance and HIPAA responsibilities.
• Perform other duties and special projects as assigned.

Qualifications

• Experience with HCPC, ICD-10 medical terminology, accounts receivable, insurance collections and payor requirements, or billing.
• Ability to work quickly and accurately and pay attention to detail.
• Proficient with Microsoft Office Software- Excel, Word and Outlook and databases.
• Strong data entry skills.
• ​​Ability to work in a fast-paced, frequently changing environment.
• ​Communicate clearly, both verbally and in writing, with clinical and non-clinical personnel, patients, and care givers in a professional and respectful manner.
• ​​Demonstrate organizational, analytical, and time management skills.
• Dependable, reliable, and punctual. 
• High school diploma or equivalent qualification required. 
• Minimum 1 year of experience in medical billing and collections. 
• Minimum 1 year of experience in accounts receivable, claims, and insurance payor requirements.
• Familiarity of Medicare and Medicaid preferred.
• Knowledge of Orthotics, Prosthetics, and DME billing preferred.

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%