Priority Claims Analyst II

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. Built on the legacy of James Edward Hanger, the first amputee of the American Civil War, Hanger is steeped in 150 years of clinical excellence and innovation with a vision to be the partner of choice for products and services that enhance human physical capability. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom.

Hanger, Inc. is an equal opportunity employer – female/minority/disability/vet.

Could This Be For You?

Hanger Inc., is looking for a Priority Claims Analyst II to join our team. Primary responsibilities include support of offshore EDI enrollment processes, analysis, and resolution of issues related to payer registration, credentialing and enrollment ensure compliance, improve performance, and reimbursement rates; as well as, maintaining exceptional support and communication with clinics, employees, and management. Other responsibilities may include liaison roles and various other types of processing.

Your Impact

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 information 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 initiated from field clinics; either independently or through interaction with other internal departments.

Minimum Qualifications

Bachelor’s degree is required with a minimum of 2 years of related experience "OR" High School Diploma or G.E.D plus 6 years of practical experience is acceptable
Minimum 3 years of experience to include at least one of the following areas: Medicare, reimbursement, medical policy or payor appeal requirements.

Preferred

Computer skills essential; prefer experience with Excel, Share point and Sales Force.
Motivated, proactive, research and detail oriented. Strong analytic and problem solving skills. Ability to work independently.
Past experience with Hanger Inc preferred or essential understanding and working knowledge of any of the following entities -Change Healthcare, CAQH, Availity.
Ability to manage and complete multiple projects and activities with time-sensitive deadline

Additional Success Factors

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

Computer skills essential; prefer experience with Excel, Share point and Sales Force.
Motivated, proactive, research and detail oriented. Strong analytic and problem solving skills. Ability to work independently.
Past experience with Hanger Inc preferred or essential understanding and working knowledge of any of the following entities -Change Healthcare, CAQH, Availity.
Ability to manage and complete multiple projects and activities with time-sensitive deadlines.
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.
Competitive salary.
Competitive health and insurance benefits.
Annual target bonus or commission.
Paid vacation and sick time.
Frequent company update talks with our leadership team.

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 fully 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.