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?The Provider Contracts Analyst II (Remote) is responsible for maintaining payer and reimbursement data in the Hanger Next Gen system, supporting Contract Managers and National Account Managers in loading new payer/pricing data, supporting the M&A team in loading newly acquired locations/contracts to Next Gen and maintaining master fee schedules for contracting and coordination with Clinical Services as necessary.
Your Impact Work with Clinical Services for all code maintenanceMaintain master fee schedule for contractingMaintain and update Next Gen with updated rates based on annual Medicare updatesMaintain and update Next Gen with updated rates based on U&C as necessaryWork with Contract Manager and National Account Managers on maintaining/updating all fee schedule and contracts in Next GenWork with Administrative Manager on updates to WC/Medicaid fee scheduleMaintain/update all service items in Next GenAuditing all SIM library configurations in Next Gen prior to roll-out date by locationAssist with the creation and analyst of fee schedule for contract manager and National Account ManagersAssist IT in testing new versions/applicationsWork with IT with enhancements for Next GenMaintain contracted payer records in Next GenResearch and create non-contracted payers as required Next GenMaintain pricing regions linking payers/reimbursements to contracted locationsMaintain locations connected to non-contracted payersResearch and load new locations to pricing regions and acquisition contracts in Next GenInactivate and remove payers/contracts when new contracts supersedePrepare contract reports as neededOrganize nightly approval processPrepare reports on contracts, pay sources and contract approvalsMaintain Veterans Administration contracts in SalesForceMaintain web portal logins for local Hanger offices for contracted payers as requiredTest, load and develop support for Fee FactoryLoad contracts to Fee FactoryAssist Contract Managers with validating contract data in Salesforce.comMaintain Veterans Administration contracts in SalesForceWork on special projects as needed Minimum QualificationsRequired
Bachelor’s degree in related field or equivalent experienceMinimum of 2 years of related experiencePreferred
Billing and coding experience or trainingProvider servicing and/or contracting experience in a managed care environment Additional Success Factors Expert knowledge and understanding of payment, pricing and reimbursement methodologiesSuperior verbal, written, organizational and analytical skillsSoftware application knowledge including proficiency in Microsoft Office suite, particularly MS ExcelAptitude for navigating Claims/Practice Management systemsExcellent customer service and interpersonal skillsProven track record as team player and ability to multi-taskAct 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.#LI-Remote
Pay range of $48,000 to $72,000 + annual bonus: up to 5% of base pay depending on bonus criteria. This pay range is posted to comply with wage transparency laws. Hanger salary ranges vary based on skill, ability, knowledge, geographic location and other variables
Our Investment in You Competitive Compensation Packages8 Paid National Holidays & 4 additional Floating HolidaysPTO that includes Vacation and Sick timeMedical, Dental, and Vision Benefits401k Savings and Retirement PlanPaid Parental Bonding Leave for New ParentsFlexible Work Schedules and Part-time OpportunitiesGenerous Employee Referral Bonus ProgramMentorship Programs- Mentor and MenteeStudent Loan Repayment Assistance by LocationRelocation AssistanceRegional & National traveling CPO/CO/CP opportunitiesVolunteering 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-HRC
Options Apply for this job onlineApplyShareShare this job with a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Share |IMPORTANT: There is a chance our confirmation email as well as subsequent email correspondence sent to you by one of our recruiters will be discarded by your spam filter. Once applying for a position, please check your inbox for our auto-acknowledgment email. If you don't see the email, look in your junk-mail folder. If you find it there, please mark the email as Not Junk and add to your address book. Please continue to monitor your inbox and junk/SPAM folder while you remain under consideration for a position. Application FAQs
Software Powered by iCIMS
www.icims.com