Reimbursement Specialist III

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.

The Reimbursement Specialist III - Remote performs the billing and collection activities necessary to facilitate the payment for the services provided.

• Prepares reimbursement submissions on behalf of Hanger Clinic for complex claims in a medical or managed care environment
• Functions as an advocate for and a resource to clinic administration in the areas of reimbursement and managed care
• Conducts analytical research and provides expertise on pricing/reimbursement, precertification and predetermination matters, claim appeals process and other related steps to ensure that complex claims are processed with a high degree of accuracy
• Maintains and supports relationships with customers and insurance/managed care organizations to ensure a successful reimbursement program
• Works closely with field, staff, and may provide training on relevant reimbursement issues. 

Minimum

• High School diploma or equivalent
• Minimum 4 years’ experience to include at least one of the following areas: Medicare, reimbursement, medical policy or payor appeal requirements.

Preferred

• Previous experience working with billing and medical claims personnel in various health care settings

• Must possess excellent phone etiquette.
• Knowledge of medical devices and medical terminology.
• Good communication and listening skills.
• Detailed oriented and able to working multiple items simultaneously in a fast paced work environment
• Knowledge and experience using computer with strong keyboarding/data entry skills
• General knowledge of office software products; e.g. MS Word, Excel, Outlook, etc.
• 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.

Pay range of $19.62 to $26.00 per hour + 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. 

• 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

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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