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?We are seeking an Insurance Verification Specialist I - Remote. This role will review patient information to ensure insurance coverage is active and contact health insurance companies to verify eligibility and benefits from within an organization that provides healthcare patient services. Work with third-party payers to obtain pre-certification prior to scheduled procedures and services. Document and maintain accurate registration and benefits information for patients complete and communicate current status of authorizations, claims, and appeals. Work hours: 8:00 - 5:00 pm (ET)
Your ImpactPrincipal Duties and Responsibilities (Essential Functions):
Promote the values of Hanger Reviews documentation to ensure meets needs of payer and medical policyVerifies diagnosis code on patient billing is accurate and reimbursableCommunicates with clinic staff to obtain necessary documentationCommunicates with insurance companies to verify patient benefitsDetermine insurance financial information such as coinsurance, deductible, etc. used to determine patient responsibilityCoordinate with clinic if items are determined to be not coveredSubmit authorization request to insurance companies and follows up as neededEnsures authorizations provided by insurance companies are accurate and contain correct codes, quantities and appropriate authorization date ranges.Updates patient chart with necessary notations, authorization numbers, and documentationContact third-party payer to validate patient’s coverageContact patient for updated insurance informationPerform other duties as assigned Minimum QualificationsRequired:
High school diploma or equivalentLess than 1 year of related experienceMinimum good fit for the job, as determined by the Talent Bullseye assessment. Hanger will administer the Talent Bullseye as part of the selection process.
Preferred:
Medical terminology knowledge Pre-Authorization knowledge/experienceKnowledge of insurance payer requirementsExperience with EMR systems (NextGen and/or OnBase)Basic computer knowledgeDME/Orthotic knowledge Additional Success Factors Able to initiate communication with clinic staff and insurance companiesExcellent customer service and communication skillsAble to manage multiple responsibilities and to prioritize duties/tasks in a fast paced working environmentGood interpersonal, oral and written communication skills, including the ability to follow written and verbal directionsResourceful and flexible team player who excels at building trusting relationships with patients, referral sources and colleaguesWorking knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocolsWorking knowledge of ICD-9, ICD-10, HCPC/CPT and other codingProficient computer software; such as MS Word, Excel, and automated billing systemsAble to use various type of office equipment; such as, facsimile machines, calculator, postage machine, copiers, etc.Knowledge of state, federal and regional collection and reimbursement lawsMust have an enthusiastic and positive attitudeAbility to work independently, exercise creativity, and be attentive to detailProficiency with basic math and accounting skillsAct 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
Pay range of $18dph to $23.27dph + 5% annual bonus potential. This pay range is posted to comply with wage transparency laws. Hanger salary ranges vary based on skill, ability, knowledge, geographic location and other variables.
Our Investment in You Competitive Compensation Packages8 Paid National Holidays & 4 additional Floating HolidaysPTO that includes Vacation and Sick timeMedical, Dental, and Vision Benefits401k Savings and Retirement PlanPaid Parental Bonding Leave for New ParentsFlexible Work Schedules and Part-time OpportunitiesGenerous Employee Referral Bonus ProgramMentorship Programs- Mentor and MenteeStudent Loan Repayment Assistance by LocationRelocation AssistanceRegional & National traveling CPO/CO/CP opportunitiesVolunteering for Local and National events such as Hanger’s BAKA Bootcamp and EmpowerFest
Hanger, Inc. is committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. The company will comply with all applicable state or local fair employment laws that forbid discrimination or harassment on the basis of other protected characteristics. Retaliation against any employee for filing or supporting a complaint of discrimination or harassment is prohibited.
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