Note: The job is a remote job and is open to candidates in USA. Hanger, Inc. is the world's premier provider of orthotic and prosthetic services and products. They are seeking a Billing Specialist I to provide high-level customer service to patients and manage the billing and authorization processes, ensuring compliance with relevant laws and company policies.
Responsibilities
- Obtain and maintain accurate patient, billing and insurance information, verification and pre-authorization in patient files and in the billing system, in compliance with Hanger’s Compliance Policies
- Review charts for completed checklist or PCRE
- Conversion of NextGen encounters after running and clearing all claim edits
- Accurately submits paper and electronic daily
- Acquires and maintains knowledge of manual and electronic billing systems, and specifications for contracted payers
- Reconciles electronic billing error/submission/rejection report
- Mails paper claims to carriers, and files resubmissions
- Coordinates communications with payers to ensure accurate billing practices, and enhance reimbursement opportunities, in accordance with Hanger goals
- Report timely key statistics to market and corporate management for sales, revenue, cash and patient flow
- Perform other duties or special projects as assigned
Skills
- High school education or equivalent
- Minimum of one year of experience auditing or data analytics
- Knowlegable of professional concepts and able to properly apply company policies and procedures to resolve issues
- Exhibit good Interpersonal, oral (including telephone) and written communication skills, including the ability to follow written and verbal directions
- Comfortable working in various workplace scenarios (e.g. diverse population clinicians, insurance carrier representatives, levels of management, and business representatives.)
- Knowledge of generally accepted accounting principles; applicable federal, state and local laws, statues, regulations, policies and procedures; healthcare billing principles and practices; basic mathematical principles and practices; methods and techniques receiving/accounting for payments; standard office practices and procedures; standard clerical accounting methods and practices; principles and practices of organizing and reporting data; personal computer systems and general office computer software; standard filing and record keeping systems
- Working knowledge of ICD-9, ICD-10, HCPC/CPT and other coding
- Ability to research, interpret and apply complex laws, regulations, policies and procedures pertaining to healthcare billing and collection activities; provide/obtain detailed information form others, even in difficult situations; gather and evaluate data; communicate effectively; maintain professional composure, even during difficult situations , both orally and in writing; establish and maintain effective working relationships with others; utilize standard office equipment, including computer hardware and software, to accomplish tasks within set deadlines; establish and maintain procedures, records and files
- This role requires an individual of exemplary ethical standards who performs meticulous and concise work
- Proficient computer skills, including Windows based office technologies (ex. Word, Excel, PowerPoint), computerized billing systems and report writer software. Excel or comparable spreadsheet experience required
- Experience in a medical office
- Experience with EMR systems (NextGen and/or OnBase)
- DME/Orthotic knowledge
Benefits
- Competitive Compensation Packages
- 8 Paid National Holidays & 4 additional Floating Holidays
- PTO that includes Vacation and Sick time
- Medical, Dental, and Vision Benefits
- 401k Savings and Retirement Plan
- Paid Parental Bonding Leave for New Parents
- Flexible Work Schedules and Part-time Opportunities
- Generous Employee Referral Bonus Program
- Mentorship Programs- Mentor and Mentee
- Student Loan Repayment Assistance by Location
- Relocation Assistance
- Regional & National traveling CPO/CO/CP opportunities
- Volunteering for Local and National events such as Hanger’s BAKA Bootcamp and EmpowerFest
Company Overview
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