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Insurance Verification Specialist I

Company

Hanger, Inc.

Address , Remote
Employment type FULL_TIME
Salary
Expires 2023-06-24
Posted at 1 year ago
Job Description
Why Us?:
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?:
The Insurance Verification Specialist I - Remote reviews 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: 7:00 am - 4:00 pm (Central Time)
Your Impact:
  • Verifies diagnosis code on patient billing is accurate and reimbursable
  • Submit authorization request to insurance companies and follows up as needed
  • Contact third-party payer to validate patient’s coverage
  • Communicates with insurance companies to verify patient benefits
  • Communicates with clinic staff to obtain necessary documentation
  • Contact patient for updated insurance information
  • Promote the values of Hanger
  • Reviews documentation to ensure meets needs of payer and medical policy
  • Updates patient chart with necessary notations, authorization numbers, and documentation
Minimum Qualifications:
Required:
  • High school diploma or equivalent
  • Less than 1 year of related experience
  • Minimum 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/experience
  • Basic computer knowledge
  • Experience with EMR systems (NextGen and/or OnBase)
  • DME/Orthotic knowledge
  • Knowledge of insurance payer requirements
Additional Success Factors:
  • Foster open collaboration and constructive dialogue with everyone around you.
  • Ability to work independently, exercise creativity, and be attentive to detail
  • Good interpersonal, oral and written communication skills, including the ability to follow written and verbal directions
  • Keep the patient at the center of everything that you do, building lifelong trust.
  • 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 manage multiple responsibilities and to prioritize duties/tasks in a fast paced working environment
  • Proficiency with basic math and accounting skills
  • Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols
  • Must have an enthusiastic and positive attitude
  • Focus on superior outcomes, and calibrate work processes for outstanding results.
  • Able to initiate communication with clinic staff and insurance companies
  • Act with integrity in all ways and at all times, remaining honest, transparent, and respectful in all relationships.
  • Resourceful and flexible team player who excels at building trusting relationships with patients, referral sources and colleagues
  • Able to use various type of office equipment; such as, facsimile machines, calculator, postage machine, copiers, etc.
  • Continuously innovate new solutions, influencing and responding to change.
  • Knowledge of state, federal and regional collection and reimbursement laws
  • Excellent customer service and communication skills
Our Investment in You:
Employees working at least 20 hours per week are eligible for the following benefits:
  • Dental Insurance
  • Free employee assistance program
  • 8 hours of paid time to volunteer in your community
  • Full-time employees are also eligible for short-term and long-term disability insurance
  • Vision Insurance
  • Paid Sick Time Off
  • Paid Vacation Time Off
  • 401(k)
  • Life Insurance
  • Dependent Care Flex Spend Account
  • Health Insurance
  • Medical Flex Spend Account
  • Competitive Pay
  • 8 Paid Holidays per Year
  • Floating Holiday