-
Remote Claims Representative
-
Job Description
-
JOB DESCRIPTION
-
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
-
JOB SUMMARY
-
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
-
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
