[Remote] Billing Specialist I

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