SPS: Billing Specialist II

Hanger, Inc.•Alpharetta, GA

About The Position

The 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. This role involves entering, reviewing, and updating all billing, codes, and account information, reviewing and reconciling reports, ensuring accurate billing for all services provided, printing bills to collect revenues, auditing account accuracy, and performing daily, weekly, and month-end close activities. The specialist must ensure compliance with relevant laws, including HIPAA requirements, regulations, and established Hanger policies and procedures.

Requirements

High School Diploma or G.E.D.
Minimum of 2 years of related experience.
Minimum good fit for the job, as determined by a skills assessment. Hanger will administer the assessment as part of the selection process.
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.

Nice To Haves

Associate degree preferred.
Experience in a medical office preferred.
Learns to use professional concepts. Applies company policies and procedures to resolve routine issues.
Interpersonal, oral (including telephone) and written communication skills, including the ability to follow written and verbal directions.
Knowledge of generally accepted accounting principles; applicable federal, state and local laws, statutes, regulations, policies and procedures; health-care 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 health-care 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.

Responsibilities

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 submit paper and electronic claims daily.
Acquire and maintain knowledge of manual and electronic billing systems, and specifications for contracted payers.
Reconcile electronic billing error/submission/rejection reports.
Mail paper claims to carriers, and file resubmissions.
Coordinate 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.

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