What are the responsibilities and job description for the Billing Specialist I position at Hanger, Inc.?
Why Us?:
Preferred
With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger's Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions to the broader market. With 160 years of clinical excellence and innovation, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom.
Could This Be For You?:
Responsible for the timely review and submission of medical claims to insurance companies from a wide variety of providers and clinics. Knowledgeable of all aspects of the financial process from scheduling, billing, and collections.
Your Impact:
- Review patient bills for accuracy and completeness in a timely manner
- Take the initiative to obtain missing information to ensure claims are submitted accurately and timely
- Knowledge of insurance rules and guidelines; such as, Medicare and Medicaid
- Adhere to billing guidelines, policies, and procedures
- Identify the proper party to be billed; such as, insurance company or patient
- Complete the entire required billing checklists prior to submission
- Perform follow up activities to ensure documentation is gathered in a timely manner
- Communicate with clinic personnel and insurance companies
- Ensure necessary documentation is included or coordinate with appropriate clinic to update records
- High school education or equivalent
- Minimum good fit for the job, as determined by the Talent Bullseye assessment. Hanger will administer the Talent Bullseye as part of the selection process.
Preferred
- Experience in a medical office
- Experience with EMR systems (NextGen and/or OnBase)
- Spanish speaking
- DME/Orthotic knowledge
- Good customer service and communication skills
- Strong interpersonal, oral and written communication skills, including the ability to follow written and verbal directions
- Resourceful and flexible team player who excels at building trusting relationships
- Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols
- Working knowledge of ICD-9, ICD-10, HCPC/CPT and other coding
- Proficient computer skills including Windows based office technologies (ex. Word, Excel) and automated billing systems
- Ability to use all necessary office equipment; such as, facsimile machines, calculator, postage machine, copiers, etc.
- Knowledge of state, federal and regional collection and reimbursement laws where applicable
- Good organizational skills and the ability to manage multiple tasks
- Detailed orientation while working in a fast paced environment
- Exhibit enthusiasm and positive attitude
- Ability to work independently and exercise creativity
- Familiar with medical terminology
- Proficiency with basic math and accounting skills
- Act with integrity in all ways and at all times, remaining honest, transparent, and respectful in all relationships.
- Keep the patient at the center of everything that you do, building lifelong trust.
- Foster open collaboration and constructive dialogue with everyone around you.
- Continuously innovate new solutions, influencing and responding to change.
- Focus on superior outcomes, and calibrate work processes for outstanding results.
Employees working at least 20 hours per week are eligible for the following benefits:
- Competitive Pay
- Health Insurance
- Dental Insurance
- Vision Insurance
- 8 Paid Holidays per Year
- Paid Vacation Time Off
- Paid Sick Time Off
- 8 hours of paid time to volunteer in your community
- Floating Holiday
- Life Insurance
- Medical Flex Spend Account
- Dependent Care Flex Spend Account
- Free employee assistance program
- 401(k)
- Full-time employees are also eligible for short-term and long-term disability insurance
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