Benefits & Authorization Specialist III

Hanger, Inc.

5d•$18 - $25•Remote

About The Position

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. We are seeking a Benefits & Authorization Specialist III - Remote - the core focus of this function will be to review patient information to ensure insurance coverage is active and contact health insurance companies to verify eligibility. Document and maintain accurate information for patients and completes and communicates the current status of authorizations Peer to Peer.

Requirements

High school diploma or equivalent
Minimum of 6 years of insurance verification and/or benefits experience
Must have, or be eligible to obtain, a valid driver’s license and driving record within the standards outlined within Hanger’s Motor Vehicle Safety Policy and Procedures.

Nice To Haves

Able to initiate communication with clinic staff and insurance companies.
Excellent customer service and communication skills
Able to manage multiple responsibilities and to prioritize duties/tasks in a fast-paced working environment.
Good interpersonal, oral and written communication skills, including the ability to follow written and verbal directions.
Resourceful and flexible team player who excels at building trusting relationships with patients, referral sources and colleagues.
Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols
Working knowledge of ICD-9, ICD-10, HCPC/CPT and other coding
Proficient computer software, such as MS Word, Excel, and automated billing systems
Able 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 laws
Must have an enthusiastic and positive attitude.
Ability to work independently, exercise creativity, and be attentive to detail.
Proficiency with basic math and accounting skills
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.

Responsibilities

Promote the values of Hanger.
Reviews documentation to ensure it meets the needs of the payer and is in alignment with payer medical policy.
Communicates with clinic and or consolidated staff to obtain necessary documentation.
Communicates with insurance companies to verify patient benefits and authorization requirements.
Submit authorization request to insurance companies and follows up as needed.
Ensures authorizations provided by insurance companies are accurate and contain correct codes, quantities, and appropriate authorization date ranges.
Updates patient chart with necessary notations and documentation
Contact patient for updated insurance information.
In the event of a denial of authorization communicate with clinic to determine if the submission of an appeal if appropriate. If appropriate submit the appeal to the payer and follow up as needed.
Perform other duties as assigned

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