Role Description
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. This is a remote position.
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Review patient bills for accuracy and completeness in a timely manner
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Take the initiative to obtain missing information to ensure claims are submitted accurately and timely
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Knowledge of insurance rules and guidelines; such as, Medicare and Medicaid
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Adhere to billing guidelines, policies, and procedures
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Identify the proper party to be billed; such as, insurance company or patient
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Complete the entire required billing checklists prior to submission
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Perform follow up activities to ensure documentation is gathered in a timely manner
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Communicate with clinic personnel and insurance companies
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Ensure necessary documentation is included or coordinate with appropriate clinic to update records
Qualifications
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High school education or equivalent
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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.
Requirements
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Experience in a medical office
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Experience with EMR systems (NextGen and/or OnBase)
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Spanish speaking
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DME/Orthotic knowledge
Additional Success Factors
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Good customer service and communication skills
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Strong interpersonal, oral and written communication skills, including the ability to follow written and verbal directions
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Resourceful and flexible team player who excels at building trusting relationships
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Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols
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Working knowledge of ICD-9, ICD-10, HCPC/CPT and other coding
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Proficient computer skills including Windows based office technologies (ex. Word, Excel) and automated billing systems
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Ability to use all necessary office equipment; such as, facsimile machines, calculator, postage machine, copiers, etc.
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Knowledge of state, federal and regional collection and reimbursement laws where applicable
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Good organizational skills and the ability to manage multiple tasks
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Detailed orientation while working in a fast paced environment
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Exhibit enthusiasm and positive attitude
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Ability to work independently and exercise creativity
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Familiar with medical terminology
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Proficiency with basic math and accounting skills
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Act with integrity in all ways and at all times, remaining honest, transparent, and respectful in all relationships.
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Keep the patient at the center of everything that you do, building lifelong trust.
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Foster open collaboration and constructive dialogue with everyone around you.
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Continuously innovate new solutions, influencing and responding to change.
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Focus on superior outcomes, and calibrate work processes for outstanding results.
Benefits
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Competitive Compensation Packages
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8 Paid National Holidays & 4 additional Floating Holidays
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PTO that includes Vacation and Sick time
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Medical, Dental, and Vision Benefits
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401k Savings and Retirement Plan
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Paid Parental Bonding Leave for New Parents
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Generous Employee Referral Bonus Program
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Mentorship Programs- Mentor and Mentee
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Student Loan Repayment Assistance by Location
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Regional & National traveling CPO/CO/CP opportunities
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Volunteering for Local and National events such as Hangerβs BAKA Bootcamp and EmpowerFest