Clinic Administrator (Prior Authorizations)

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 :

In this role, you will assist with obtaining pre-authorizations and processing referrals for the Charlotte area clinics.

Previous experience with authorizations in a clinic setting is highly preferred. The ideal candidate will have experience working with insurance companies and completing prior authorization processes.

This role will be in a clinic setting, but usually in the back office setting.

Your Impact :

• Receive requests for prior authorizations and ensure that they are properly and closely monitored within company set standards
• Review accuracy and completeness of information requested and ensure that all supporting documents are present
• Document all prior authorization information including approval dates, billing units, procedure codes, and prior authorization number in patient profile
• Proactively work on prior authorizations that are due to be expired
• Secure patients’ demographics and medical information by using discretion and ensuring that all procedures are in sync with HIPAA compliance and regulation
• Completes all required duties, projects and reports in a timely fashion on a daily, weekly, or monthly basis per the direction of the leadership.
• Other duties as assigned

Minimum Qualifications :

Minimum Qualification :

• High school diploma or GED required.
• 2 years of office administrative experience
• Must have, or be eligible to obtain, a valid driver’s license and driving record within the standards outlined within Hanger’s Motor Vehicle Safety Policy and Procedures.

Preferred Qualifications and Experiences :

• At least 1-2 years of experience with EMR / electronic health / medical record systems (preferably NextGen and / or OnBase).
• Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols.
• Associate's degree.
• Ability to type 40 correct words per minute.
• At least 2 years of computer and office equipment experience including MS Office products (Word, Excel), e-mail and automated billing systems, facsimile machines, calculator, postage machine, copiers, etc.
• Basic administrative math accounting skills.

Physical Requirements :

• While performing the duties of this job, the employee will regularly be required to sit, walk and stand; occasionally bend or twist;
• regularly talk and hear, both in person and by telephone; use hands to operate standard office equipment; reach with hands and arms (to include reaching overhead);

and lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.

Additional Success Factors :

• 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.
• Resourceful team player who excels at building trusting relationships with patients, referral sources, and colleagues.
• Personable office professional whose strengths include cultural sensitivity and an ability to build rapport with a diverse population in multicultural settings.
• Flexible team player who thrives in environments requiring ability to effectively prioritize and juggle multiple concurrent projects in a fast paced environment.
• 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.

• Demonstrated ability to provide a high level of customer service to patients, fellow employees and referral sources.
• 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.
• Ability to work with physically challenged individuals.
• Working knowledge of state, federal, regional collection and reimbursement laws, HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols.

Our Investment In You :

• Competitive Compensation Packages
• 8 Paid National Holidays & 4 additional Floating Holidays
• PTO that includes Vacation and Sick time
• Medical, Dental, and Vision Benefits
• 401k Savings and Retirement Plan
• Paid Parental Bonding Leave for New Parents
• Flexible Work Schedules and Part-time Opportunities
• Generous Employee Referral Bonus Program
• Mentorship Programs- Mentor and Mentee
• Student Loan Repayment Assistance by Location
• Relocation Assistance
• Regional & National traveling CPO / CO / CP opportunities
• Volunteering for Local and National events such as Hanger’s BAKA Bootcamp and EmpowerFest

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.

ERF-HPO