Revenue Cycle Quality Auditor II

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.

We are seeking a Revenue Cycle Quality Auditor II - Remote.  Reporting to the Manager of RCM Quality Audit as part of the Revenue Cycle Performance Group, the Revenue Cycle Quality Auditor position is an integral role in the success of the Revenue Cycle team. The Revenue Cycle Quality Auditor is responsible for performing routine and targeted quality audits of both offshore and onshore processes, with the goal of ensuring that quality and performance standards are being met.

The ideal candidate for this role is detail-oriented, has an eagerness for training and education and exhibits a patient and calm demeanor. Candidate must have extensive revenue cycle experience understanding the full RCM Cycle including but not limited to: Patient registration, benefit review, prior authorization processes, coding and billing, claim submission, payment posting, denial management, and collections.

Principal Duties and Responsibilities (Essential Functions):

• Responsible for performing & maintaining the quality assurance processes for Revenue Cycle functions across the organization, with an intense focus on offshore processes.
• Performs routine and targeted audits to ensure quality and compliance standards are met.
• Processes error disputes, providing timely feedback to staff.
• Performs account review for account financial resolution opportunities and performance opportunities.
• Observes areas for operational workflow opportunities.
• Analyzes trends in data, making appropriate recommendations for additional training as needed.
• Working directly with the RCM Quality Audit Manager, prepare and participate in re-education/ training sessions with onshore and offshore staff to remediate quality deficiencies.

• 1-2 years of relevant work experience within healthcare revenue cycle
• A valid driver’s license and driving record within the standards outlined within Hanger’s Motor Vehicle Safety Policy and Procedures.

Knowledge and Skill:

• Excellent written and oral communication skills
• Strong analytical, problem solving, trouble shooting skills
• Skilled in the use and application of Microsoft Office Suite (Power Point, Word, Excel, Outlook)
• Ability to demonstrate a calm demeanor in stressful work situations
• Prior experience auditing revenue cycle processes preferred.

Job Complexity:

Works on assignments that are semi-routine in nature but recognizes the need for occasional deviation from accepted practice.

• 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.

Pay range of $17.88 to $27.90 per hour + 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.  

Employees working at least 20 hours per week are eligible for the following benefits:

• Competitive Pay
• Health Insurance
• Dental Insurance
• Vision Insurance
• 8 Paid Holidays per Year
• Paid Vacation Time Off
• Paid Sick Time Off
• 8 hours of paid time to volunteer in your community
• Floating Holiday
• Life Insurance
• Medical Flex Spend Account
• Dependent Care Flex Spend Account
• Free employee assistance program
• 401(k)
• Full-time employees are also eligible for short-term and long-term disability insurance

#LI-Remote

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.

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