Billing Specialist II

US-GA-Alpharetta
Job ID
2017-12907
# Positions
1
Posted Date
4 days ago
Category
Accounting/Finance

Overview

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. Built on the legacy of James Edward Hanger, the first amputee of the American Civil War, Hanger is steeped in 150 years of clinical excellence and innovation with a vision to be the partner of choice for products and services that enhance human physical capability. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom. Hanger, Inc. is an equal opportunity employer - female/minority/disability/vet.

 

 

Overview:

As our Billing Specialist II you 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. 

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 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

Qualifications

  • Requires 2 years of related experience, and a high school education or equivalent.
  • Associate degree preferred.
  • Experience in a medical office preferred.
  • Knowledgeable of professional concepts and able to properly apply company policies and procedures to resolve issues. 
  • Exhibit good Interpersonal, oral (including telephone) and written communication skills, including the ability to follow written and verbal directions.
  • Comfortable working in various workplace scenarios (e.g. diverse population clinicians, insurance carrier representatives, levels of management, and business representatives.)
  • Knowledge of generally accepted accounting principles; applicable federal, state and local laws, statues, 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.
  • 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.

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 fully 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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