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
