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Hanger, Inc. · 2 hours ago

Billing Specialist I

United States

Full-time

Remote

Entry Level

$20/hr - $24/hr

1+ years exp

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.

Health CareHospitalMedical Device

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

Qualification

Billing systemsICD-9ICD-10 codingData analyticsEMR systemsHealthcare billing principlesComputer skillsInterpersonal communicationWritten communication

Required

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