Clinic Administrator (Prior Authorizations)
Hanger
- Charlotte, NC
- Permanent
- Full-time
- 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
- 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.
- 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.
- 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.
- 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.
- 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