Senior Credit Balance Specialist

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 Senior Credit Balance Specialist will ensure collections for services provided is accurate, timely and fully documented. Provide efficient account reconciliation through excellent reimbursement practices while ensuring compliance with relevant laws, regulations and established Hanger policies and compliance programs. Provides strict adherence to adjustment, refund and write-off policies/procedures as outlined in Hanger Clinics Standard Operating Procedures.

 

This is a fully remote position. Must be available to work an 8 hour day shift Monday - Friday. 

Your Impact

As the Senior Credit Balance Specialist, you will be responsible for:

• Subject matter expert responsible for escalated account review and resolution
• Provide on the job training and new hire orientation to the departmental or team processes
• Maintains oversight payer reconciliation projects
• Oversees reconciliation of payer portal request
• Maintains database by entering, updating, and retrieving data, as well as formatting and generating reports.
• Reconciles accounts that result in a Credit Balance.
• Responds to inquiries from customers or external collection resources.
• May place calls or send messages to those with unresolved issues.
• Review and monitor assigned encounters and all applicable collection reports
• Manage collection calls and/or on-line resources in a professional manner
• Refund customer over payments in accordance with policy & procedure
• Identify issues attributing to overpayments and discuss them with management
• Provide timely follow-up
• Mail correspondence to customers to support overpayment findings
• Effective communication with Patient Care Clinics related to reconciliation efforts

Minimum Qualifications

Required

• Requires 6 years of related experience, and a high school education or equivalent

 Preferred

• Associate degree preferred.
• Experience in a medical office preferred.
• Experience with EMR systems (NextGen and/or OnBase) preferred.

Additional Success Factors

The ideal candidate will also possess: 

• Strong interpersonal, oral (including telephone) and written communication skills, including the ability to follow written and verbal directions. While performing this client facing position, working with a diverse population in multicultural settings, there will large amounts of communication (oral and written) including but not limited to clinicians, patients, physicians, physician's office representatives, other staff members (field associates, managers, directors) and/or business representatives.
• Ability to work with physically challenged individuals.
• Resourceful and flexible team player who excels at building trusting relationships with patients, referral sources and colleagues.
• Working knowledge of state, federal, regional collection and reimbursement laws, HIPAA and other medical insurance regulations and terminology (CPT, ICD-9, HCPCS, modifiers, coding and documentation guidelines) for private payer, state and federal plans including coding, billing and reimbursement protocols.
• Proficient computer skills including Windows based office technologies (ex. Word, Excel, PowerPoint, SharePoint), e-mail and automated billing systems.
• Ability to use all necessary office equipment, facsimile machines, calculator, postage machine, copiers, etc.
• Excellent organizational skills and the ability to manage multiple tasks (ex. multitasking) with a high degree of detail orientation while working in a fast paced environment.
• Proficiency with basic math and accounting skills.
• Ability to key 40 words per minute with accuracy preferred.
• 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.

Our Investment in You

Employees working at least 20 hours per week are eligible for the following benefits:

• Competitive Pay
• Health Insurance
• Dental Insurance
• Vision Insurance
• 8 Paid Holidays per Year
• Paid Vacation Time Off
• Paid Sick Time Off
• 8 hours of paid time to volunteer in your community
• Floating Holiday
• Life Insurance
• Medical Flex Spend Account
• Dependent Care Flex Spend Account
• Free employee assistance program
• 401(k)
• Full-time employees are also eligible for short-term and long-term disability insurance

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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.

Employment Type: OTHER