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Sonova Group · 1 day ago

Coordinator, Reimbursement

Santa Clarita, CA

Full-time

Hybrid

Entry, Mid Level

$51K/yr - $77K/yr

2+ years exp

Sonova Group is a company that provides remote support for healthcare reimbursement needs. The Reimbursement Coordinator will assist customers by verifying insurance benefits, coordinating with medical facilities, and ensuring timely claim payments.

Medical Device

Responsibilities

Verify insurance benefits and eligibility, obtain prior authorizations for patient orders (accessories, processors, surgeries), and submit claims via web portals, email, fax, and phone

Coordinate with cochlear implant clinics, surgery centers, PCPs, and external medical facilities to collect required medical records for insurance processing

Serve as liaison between patients, providers, and health plans to ensure positive determinations and timely claim payments

Prepare and submit CMS-1500 claim forms electronically or by paper, resolve clearinghouse rejections, and manage patient invoicing, refunds, and account reconciliation

Respond to insurance-related inquiries, provide benefit details, and explain patient financial responsibility for deductibles and coinsurance

Handle first-level appeals for denials or partial payments, submit supporting documentation, and aggressively follow up to recover outstanding balances from carriers and patients

Maintain & updated patient insurance records as needed

Perform prior approval and claim appeals as needed

Qualification

Healthcare reimbursementEligibility verificationClaim processingPrior authorizationsMicrosoft OfficePositive relationshipsTeam-orientedWork under pressureEffective communicationFast-paced environment

Required

High School Diploma or equivalent

Minimum 2 years of experience in healthcare reimbursement

Team-oriented, able to work in a fast-paced environment, and foster positive relationships

Ability to work under pressure and meet deadlines across departments

Ability to work with all levels of management and peers, maintain professionalism, and communicate effectively across the organization

English

Proficiency in Microsoft Office

A minimum of 200Mb/sec download and 10Mb/sec upload speed internet connectivity is required to support any remote/hybrid employee functionality at Sonova