Benefits Authorization Specialist II

Benefits & Authorization Specialist II

With a mantra of Empowering Human Potential, Hanger, Inc. is the worlds 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. Hangers 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, Hangers 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 a Benefits & Authorization Specialist II to review patient information to ensure insurance coverage is active and contact health insurance companies to verify eligibility. Document and maintain accurate information for patients complete and communicate current status of authorizations or Peer to Peer. Your Impact Promote the values of Hanger. Reviews documentation to ensure it meets the needs of the payer and is in alignment with payer medical policy. Communicates with clinic and or consolidated staff to obtain necessary documentation. Communicates with insurance companies to verify patient benefits and authorization requirements. Submit authorization request to insurance companies and follows up as needed. Ensures authorizations provided by insurance companies are accurate and contain correct codes, quantities, and appropriate authorization date ranges. Updates patient chart with necessary notations.