Orthofix · 22 hours ago
Insurance Administrator I
United States
Full-time
Remote
Entry Level
1+ years expOrthofix is a company dedicated to improving people’s quality of life through innovative medical technologies. The Insurance Administrator I will be responsible for verifying patient insurance benefits coverage for bone growth therapy devices and ensuring effective communication with various stakeholders to support the order processing.
BiotechnologyHealth CareMedical
Responsibilities
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
Regular attendance required
Qualification
Required
1-2 years of Medical Health Insurance experience preferred or 1-2 years of Orthofix Order to Cash experience
Demonstrate teamwork behaviors by positively contributing to team culture while abiding by Orthofix Code of Conduct
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
Preferred
2 year College degree preferred
Company
Orthofix
Orthofix is a global medical device company.
1001-5000 employees
H1B Sponsorship
Orthofix has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (1)
2023 (2)
2022 (5)
2020 (2)
Funding
Current Stage
Public CompanyTotal Funding
$160M2024-11-07Post Ipo Debt· $160M
1992-05-01IPO
Leadership Team
Andres Cedron
Chief Legal Officer
Clay Aiena
Chief Information Officer
Recent News
2025-12-24
MarketScreener
2025-11-04
2025-11-04
Company data provided by crunchbase