Full Description

Company Description Flywheel helps independent orthotics and prosthetics (O&P) clinics run smoothly and get paid accurately and on time, so clinicians can focus on patient outcomes not billing paperwork. With hands-on industry expertise, AI-powered tools, and practical insights, Flywheel simplifies practice management and accelerate revenue.

At Flywheel, we operate as a high-performance, client-service team, not a call center. We care about precision, accountability, and helping one another improve. We communicate directly, solve problems collaboratively, and continuously refine our processes. Team members develop expertise in payer policy, documentation standards, and advanced billing tools. We invest in people who demonstrate initiative, curiosity, and consistent performance, often promoting from within. If you take pride in doing things right the first time, enjoy mastering complex systems, and want your work to matter, you can thrive here.

Role Description The Insurance Verification Specialist I is responsible for verifying patients’ insurance coverage, confirming eligibility, obtaining prior authorizations for orthotic and prosthetic medical services, and communicating such information with the care provider, insurance company, and patient. Detail-oriented and proactive, s/he is experienced in analyzing insurance policies and effective at communicating orally and in writing. Verify accurately patients’ eligibility, benefits, and coverage for orthotic and prosthetic devices using online portals and direct communication with insurance companies. Obtain prior authorizations and pre-certifications as required, ensuring all necessary documentation is submitted for approval in a timely manner. Coordinate with providers, clinics, and referral sources to ensure all necessary paperwork and medical documentation meet payer requirements. Enter verification and authorization details accurately into the billing system, maintaining up-to-date patient records. Communicate with insurance companies regarding coverage limitations, policy guidelines, and claim denials to prevent billing issues. Ensure compliance with HIPAA and all insurance payer policies and guidelines to minimize claim rejections and delays.

Qualifications Strong understanding of Medicare, Medicaid, and commercial insurance policies as they relate to orthotics and prosthetics. Proficiency in billing software, EHR systems, and insurance portals. Excellent written and oral communication skills. Attention to detail, verifying and entering data. Problem-solving ability to troubleshoot and resolve insurance-related issues efficiently. Experience in medical billed preferred.

Benefits 401(k) program Health insurance Paid time off Bonus opportunities

Flywheel strives for a welcoming, inclusive work-environment and expects all employees to welcome all colleagues and clients regardless of race, age, language, country of origin, sex, gender identity, or sexual orientation.