Revenue Cycle Associate I

2 weeks ago

Austin, Texas, United States Hanger Clinic Full time
Why Join Us:

At Hanger, Inc., we are dedicated to Empowering Human Potential. As the leading provider of orthotic and prosthetic (O&P) services and products, we deliver cutting-edge O&P solutions, distinct clinical programs, and exceptional customer service. Our Patient Care segment stands as the largest operator of O&P clinics across the nation. Through our Products & Services segment, we offer both branded and private label O&P devices, products, and components, along with comprehensive rehabilitative solutions. With a legacy of 160 years in clinical excellence and innovation, our vision is to set the standard in the orthotic and prosthetic markets by providing outstanding patient care, results, services, and value. Every day, our team positively impacts countless lives, helping individuals achieve greater mobility and independence.

Is This Role Right for You:

The Billing Specialist I is responsible for the prompt review and submission of medical claims to various insurance providers. This role requires a solid understanding of the financial processes involved in scheduling, billing, and collections.

Your Contributions:
  • Conduct thorough reviews of patient invoices for accuracy and completeness in a timely manner.
  • Proactively gather any missing information to ensure accurate and timely claim submissions.
  • Possess knowledge of insurance regulations and guidelines, including Medicare and Medicaid.
  • Follow established billing protocols, policies, and procedures diligently.
  • Identify the appropriate entity to be billed, whether it be an insurance company or the patient.
  • Complete all necessary billing checklists prior to submission.
  • Engage in follow-up activities to ensure timely collection of documentation.
  • Communicate effectively with clinic staff and insurance representatives.
  • Ensure that all required documentation is included or coordinate with the relevant clinic to update records.
Essential Qualifications:
  • High school diploma or equivalent.
  • Assessment results indicating a suitable fit for the role, as determined by the Talent Bullseye assessment.

Preferred Qualifications:

  • Experience in a healthcare setting.
  • Familiarity with Electronic Medical Record (EMR) systems (e.g., NextGen, OnBase).
  • Proficiency in Spanish.
  • Knowledge of Durable Medical Equipment (DME) and orthotic practices.
Key Success Factors:
  • Excellent customer service and communication abilities.
  • Strong interpersonal skills, both verbal and written, with the capacity to follow instructions accurately.
  • A resourceful and adaptable team player who excels in building trust.
  • Understanding of HIPAA and medical insurance regulations, including coding, billing, and reimbursement protocols.
  • Familiarity with ICD-9, ICD-10, HCPC/CPT coding.
  • Proficient in computer applications, including Microsoft Office Suite and automated billing systems.
  • Ability to operate standard office equipment such as fax machines, calculators, and copiers.
  • Knowledge of applicable state, federal, and regional collection and reimbursement laws.
  • Strong organizational skills with the ability to manage multiple tasks effectively.
  • Attention to detail while thriving in a fast-paced environment.
  • Exhibit enthusiasm and a positive attitude.
  • Ability to work independently and demonstrate creativity.
  • Familiarity with medical terminology.
  • Basic math and accounting proficiency.
  • Act with integrity and maintain honesty, transparency, and respect in all interactions.
  • Prioritize patient-centered care, fostering trust.
  • Encourage open collaboration and constructive dialogue.
  • Continuously seek innovative solutions and adapt to change.
  • Focus on achieving superior outcomes and refining work processes for optimal results.

Hanger, Inc. is committed to equal employment opportunities in all aspects of the employer-employee relationship. We ensure that all employment conditions and privileges are administered without discrimination or harassment based on race, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, disability, military service, or any other protected classification. We comply with all applicable fair employment laws.

#ERF-HPO

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