Medical Billing Specialist
Job ID
2023-25797
# Positions
1
Job Location
US-MI-Holland | US-MI
Telecommute
Regional Remote Position
FT/PT
Full-Time
Category
Medical Office Professionals
Why Us?
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?
Billing & Claims Specialist will provide a high level of customer service to patients, fellow employees and referral sources through performing specialized clerical and administrative technical work pertaining to the authorization and billing of clients. Typical responsibilities include, entering, reviewing and updating all billing, codes and account information, review and reconciles reports, ensure billing for all services provided is accurate, print bills to collect revenues; audit account accuracy and perform daily, weekly and month end close activities, while ensuring compliance with relevant laws, including HIPAA requirements, regulations and established Hanger policies and procedures.
Your Impact
Depending on the operational requirements and size of the Hanger Clinic, this position may include some or all of the functions or roles listed below.
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.
Minimum Qualifications
Requires 2 years of related experience, and a high school education or equivalent.
Associate degree preferred.
Experience in a medical office preferred.
Additional Success Factors
Interpersonal, oral (including telephone) and written communication skills, including the ability to follow written and verbal directions. While performing this position, working with a diverse population in multicultural settings, there will be communication (oral and written) including but not limited to clinicians, insurance carrier representatives, other staff members (field associates, managers, directors) and/or 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.
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.
Our Investment in... For full info follow application link.
Hanger, Inc. is committed to providing equal employment to all qualified individuals. All conditions of employment are administered without discrimination due to race, color, religion, national origin, sex, age, disability, veteran status, citizenship, or any other basis prohibited by federal, state or local law.
