Job Information
Hanger Medical Billing Specialist in Holland, Michigan
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; he