Orthofix

Orthofix transforms patient lives worldwide through medical technologies that heal musculoskeletal pathologies.

Insurance Administrator

AdministrationAdministrationFull TimeRemoteTeam 1,001-5,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

25 days ago

Salary

Not specified

Associate Degree1 yr expEnglish

Job Description

• Perform a wide variety of duties of an Insurance nature requiring initiative and a degree of judgment in solving problems. • Research and provide current guidelines and medical policies to Insurance Administration. • Communicate any changes to management. • Build and maintain professional communication levels with corporate accounts, territory managers, region managers, case managers, adjustors, medical directors, business partners, and internal management. • Back up region(s) as necessary to maintain desired turnaround time for order processing. • Fax accurate and thorough pre-authorization request letters. • Ensure that order updates incorporate department standards. • Perform final analysis of order prior to release; review for accuracy and content. • Forward, identify, and recommend to Corporate Accounts contracting opportunities. • Determine revenue amounts based on allowable, benefits, unit price, payer guidelines, co-payment and booking policy. • Perform daily analysis of call sheet, validation, and weekly analysis of UTB and open order report. • Support the sales force on a daily basis: communication, updating orders, assisting, directing, and providing positive direction and feedback. • Critique prescriptions, letters of medical necessity and/or chart notes for consistent and complete medical information. • Verify benefits, sell medical necessity, negotiate coverage and pricing for the purchase of Orthofix products. • Communicate with internal and external associates regarding order process and payer trends (implement appropriate corrective action as needed). • Participate and assume an active role in department solutions and processes. • Communicate and escalate business concerns to management when appropriate. • Reinforce department standards, support through positive and solution-oriented communication. • Utilize and maintain department reports that provide order feedback and status. • Prioritize work assignments to meet deadlines. • Provide timely feedback and action to ensure company and patient requirements are met and addressed with a sense of urgency. • Stay current with products, competition, and clinical studies. • Reinforce training and insurance follow up to maximize company profitability. • Co-travel as available to increase/maintain relationships; attend seminars; attend region meetings. • Special projects, as assigned. • Timely completion of all corporate wide and departmental training. • Understand and promote Compliance adherence.

Job Requirements

  • 1-2 years of Medical Health Insurance experience preferred or 1-2 years of Orthofix Order to Cash experience
  • Strong time management, organizational, verbal and written skills
  • Strong knowledge of insurance companies and associated contract types (i.e., HMO, Auto, PPO, POS)
  • Ability to handle multiple priorities at moderate assignment volume while meeting all deadlines and maintaining high standards of work quality
  • Detail oriented with emphasis on quality and timeliness
  • Ability to promote logic/thought
  • Ability to adapt to fast changing priorities with ease and confidence while supporting management decisions
  • Project a professional image
  • Excellent knowledge of anatomy, products and related clinical studies
  • Innovative thinker with good judgment, analytical and decision-making skills
  • Excellent work ethic - supervision is minimal, yet assistance will be readily available as needed from leadership team
  • Strong utilization of computer skills
  • Able to run various programs with ease.
  • 2 year College degree preferred.

Benefits

  • Regular attendance required.

Related Categories

Related Job Pages

More Administration Jobs

Administration25 days ago
Full TimeRemoteTeam 11-50H1B No Sponsor

The ResWare Administrator manages the ResWare platform, ensuring its configuration and optimization while supporting operational efficiencies, compliance, and integration with third-party services. Responsibilities include system administration, workflow automation, reporting, training, and cross-functional collaboration.

Microsoft AuthenticatorMS OfficeOkta VerifyResware
Pennsylvania

Platform Administrator

Oddball

A strangely human digital agency

Administration25 days ago
Full TimeRemoteTeam 51-200H1B No Sponsor

Platform Administrator supporting enterprise data platforms in federal health agency.

LinuxTableau
United States
$110K - $155K / year

Senior SharePoint Administrator

Leidos

Leidos is an innovation company rapidly addressing the world’s most vexing challenges in national security and health.

Administration25 days ago
Full TimeRemoteTeam 10,001+Since 1969H1B Sponsor

Senior SharePoint Administrator supporting IT services for DOJ and ATF

ServiceNow
United States
$107.9K - $195.1K / year
Full TimeRemoteTeam 6,614

The Sponsored Research Contract Administrator manages pre and post award activities, ensuring compliance with regulations and overseeing project budgets while liaising between stakeholders.

Microsoft 365Workday
United States