Priority Claims Analyst II

Priority Claims Analyst II

18 Mar 2025
Wisconsin, Milwaukee, 53201 Milwaukee USA

Priority Claims Analyst II

JOB REQUIREMENTS: Priority Claims Analyst II Job ID 2025-29237 #

Positions 1 Job Location US Telecommute Telecommute (U.S.) Position

FT/PT Full-Time Category Finance | Accounting 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? We are seeking to hire a

Priority Claims Analyst II - Remote. Primary responsibilities include

EDI enrollment processes, analysis, and resolution of issues. Ensure

compliance, improve performance, as well as, maintaining exceptional

support and communication with clinics, employees, and management.

Support of offshore Team. Other responsibilities may include liaison

roles, payor portal set up, payor research and various other types of

processing. Your Impact Principal Duties and Responsibilities (Essential

Functions): Maintain positive relationships with internal and external

clients in a professional and service-oriented manner. Proactively

review and monitor changes/updates in enrollment paperwork and payer

statuses. Interpret relevant data and decide on appropriate course of

action. Responsible for researching, documenting and creating the user

logins for provider portals. Responsible for resolution of internal

enrollment issues For full info follow application link. 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.

APPLICATION INSTRUCTIONS: Apply Online:

ipc.us/t/DF0F567E9CC64463

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  • JOB REQUIREMENTS: Priority Claims Specialist II Job ID 2025-29244 # Positions 1 Job Location US Telecommute Telecommute (U.S.) Position FT/PT Full-Time Category Medical Office Professionals 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 Primary responsibilities for Priority Claims Specialist II - Remote includes reviewing complex claims, patient records and hospital and physician billing practices and identifying any discrepancies or errors in payments made to Medicare providers; while maintaining support and communication with Clinics, employees, and management alike. Principal Duties and Responsibilities (Essential Functions): Medicare Audit Specialist: - Retrieve and properly identify any document received from Revenue Cycle Management (RCM) system - Update tracking and billing systems accordingly - Perform internal and external data, files, or medical chart reviews to assure that codes billed are appropriate and supported by documentation in the records and comply with Centers for Medicare and Medicaid Services (CMS) guidelines and medical policies - Complete, review, and research any deficiency to ensure that any deficiency is properly addressed - Consult with For full info follow application link. 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. APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/3A5C224AC1054033

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