Support accurate Medicare reimbursement and ensure compliance across complex claims. At Hanger, Inc., our Priority Claims Specialists play a critical role in reviewing, auditing, and resolving discrepancies while serving as a trusted resource for clinics and reimbursement teams.
About Hanger, Inc.
For over 160 years, Hanger has been the nation’s leading provider of orthotic and prosthetic (O&P) services and products. With more than 800 patient care clinics nationwide, we deliver innovative solutions and compassionate care that help people achieve new levels of mobility and independence. Our mission: Empowering Human Potential.
Schedule
- Full-time, Remote (U.S.)
- Pay range: $19.62 – $29.42/hour
- Annual bonus: up to 5% of base pay
What You’ll Do
- Retrieve, review, and process documents from Revenue Cycle Management systems
- Audit medical charts and billing records to ensure codes meet CMS guidelines
- Identify and address documentation deficiencies with clinicians and staff
- Prepare reimbursement submissions and manage appeals in managed care environments
- Provide expertise in pricing, reimbursement, and claims analysis
- Train and support field staff on reimbursement processes and compliance
- Report anomalies, trends, and issues to leadership promptly
- Maintain confidentiality and accuracy in all patient and billing information
What You Need
Required
- High school diploma or equivalent
- 4+ years of experience in payor policies, reimbursement, and appeals
Preferred
- Bachelor’s degree
- Licensed Medicare Auditor or Certified Medical Audit Specialist
Success Factors
- Strong knowledge of Medicare audits, appeals, and reimbursement policies
- Familiarity with medical terminology, ICD coding, and payer requirements
- Excellent organizational skills and ability to identify trends quickly
- Proficiency with MS Office, EHR systems (OPS, NextGen), and OnBase records systems
- Strong communication skills and a collaborative approach
- High ethical standards regarding patient confidentiality
Benefits
- Competitive pay with bonus eligibility
- 8 Paid National Holidays + 4 Floating Holidays
- PTO (Vacation + Sick time)
- Medical, Dental, and Vision coverage
- 401(k) with company match
- Paid Parental Bonding Leave
- Flexible schedules and part-time opportunities
- Student Loan Repayment Assistance (by location)
- Mentorship programs and referral bonuses
- Volunteer opportunities at national and local events (BAKA Bootcamp, EmpowerFest)
Be part of a mission-driven team ensuring accuracy, compliance, and successful reimbursement in healthcare.
Happy Hunting,
~Two Chicks…