Job Description

Our OSM Mission: Supporting You in Advancing World-Class Orthopedic Care

At Orthopaedic Solutions Management (OSM), we are proud to support a dynamic family of Orthopaedic brands located throughout Florida. Our focus is to deliver exceptional patient care by strengthening the operational, clinical, and administrative teams that make this work possible. Every team member plays a vital role in ensuring a seamless, high-quality patient experience.

We are committed to fostering a culture of collaboration, innovation, and inclusion, one that reflects the diverse communities we serve. OSM provides equal opportunity to all and adheres to both the spirit and the letter of all applicable laws and regulations. Join us in supporting world-class orthopedic care across our growing network of practices.

In This Role You Will:

Be responsible for accurately and efficiently verifying and documenting all new and existing insurance benefits in a remote work setting to ensure that the correct co-pay is collected at the time of service, claims are filed to the correct mailing address, and referral requirements are entered so that the Authorization Representative may obtain referral if required.

Key Responsibilities:

• Contact insurance companies via phone or internet to obtain effective date of insurance coverage, type of coverage, co-pay or co-insurance information, coverage for x-rays and casting, PCP information if required, whether referral is required, and address for claims submission

• Ensure all benefit information is properly documented in the system

• Contact patient if information we have is incorrect or we are unable to verify benefits, in order to obtain accurate information prior to patient’s scheduled appointment

• Re-verify patient insurance benefits every 60 days

• Properly document referral requirements and work with the Authorization Representative to address any authorization questions

• Utilize insurance websites (e.g., Availity, Humana Military/Tricare, United Healthcare) to obtain insurance benefits

• Ensure compliance with all company policies and procedures set forth by Orthopaedic Solutions Management

• Perform all other duties as assigned

About You:

• High school diploma or equivalent required

• 2+ years of experience in a healthcare environment

• Registration, scheduling, healthcare benefits experience preferred

• Excellent customer service and communication skills

• Detail-oriented and able to multitask in a high-volume environment

• Proficient in Windows-based computer systems with strong typing skills

• Must reside and be authorized to work in the state of Florida

Remote Work Requirements:

• Must be able to work remotely outside of a traditional office environment

• Must have a dedicated workspace free from interruption or distraction

• Must maintain confidentiality and productivity in a home-based setting

• Must have reliable high-speed internet with a minimum of 25 Mbps download / 10 Mbps upload to support system performance and call volume

What We Offer:

Orthopaedic Solutions Management (OSM) is a dynamic family of orthopedic brands that is committed to providing a supportive, growth-minded work environment with competitive benefits, including:

• 12 days of PTO (after 90 days) and 8 paid holidays (no waiting period)

• 401(k) eligibility after 90 days

• Company-paid Basic Life, AD&D, and EAP

• Medical, Dental, Vision, and additional voluntary benefits available within 30 days of hire

• Opportunities for career development, organizational stability, and a strong work–life balance

• The chance to contribute to a collaborative, high-performing team that supports clinics across Florida

Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.