Medical Office Administrator (Prior Authorization exp)

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?

This is an exciting opportunity to work for a division of Hanger Clinic focused on pediatric therapy.  In this role, you will assist with obtaining pre-authorizations for procedures within the clinic.  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 and insurance verification. This is in a pediatric therapy clinic, so patience, compassion, empathy, and communication skills are a must.

 

Must have ability to work 1-2 Saturdays per month.

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. 
• Requires less than 1 year of customer service, administration or related 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.
• This facility is in a 2-story building, with employees frequently going up and down stairs while carrying small equipment (up to 25lbs)

Preferred Qualifications and Experiences:

• At least 1 year of experience with electronic health/medical record systems (A2C or Fusion). 
• Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols. 

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