Coordinator, Reimbursement

Valencia, CA - Remote

Coordinator, Reimbursement

The Reimbursement Coordinator provides remote support to assist customers with health care reimbursement needs.

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.

Additional Key Responsibilities: Maintain & updated patient insurance records as needed. Perform prior approval and claim appeals as needed.

More about you:

Education

• Required: High School Diploma or equivalent
• Preferred: Further education in healthcare or related field

Work Experience

• Required: Minimum 2 years of experience in healthcare reimbursement
• Preferred: At least 2 years in health insurance reimbursement with expertise in eligibility & benefit verification, prior authorizations, and claim processing

Personal Competencies

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

Social Competencies

• Required: Ability to work under pressure and meet deadlines across departments

Professional Competencies

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

Language

• Required: English

IT Skills

• Required: 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

Don't meet all the criteria?  If you’re willing to go all in and learn we'd love to hear from you! 

We are looking forward to receiving your application via our online job application platform. For this position only direct applications will be considered. Sonova does not recruit via app, telegram, carrier pigeon or any other format that does not include speaking with an actual human. If you are offered a job without speaking with someone please contact Sonova Human Resources

 What we offer:

• Medical, dental and vision coverage*
• Health Savings, Health Reimbursement, Flexible Spending/Dependent Care Accounts
• TeleHealth options
• 401k plan with company match*
• Company paid life/ad&d insurance
  • Additional supplemental life/ad&d coverage available
• Company paid Short/Long-Term Disability coverage (STD/LTD)
  • STD LTD Buy-ups available
• Accident/Hospital Indemnity coverage
• Legal/ID Theft Assistance
• PTO (or sick and vacation time), floating Diversity Day, & paid holidays*
• Paid parental bonding leave
• Employee Assistance Program (24/7 mental health support hotline, 5 company paid counseling sessions and more)
• Robust Internal Career Growth opportunities
• Tuition reimbursement
• Hearing aid discount for employees and family
• Internal social recognition platform

*Plan rules/offerings dependent upon group Company/location.

This role's pay range is between: $51,200/yr – 76,800/yr. This role is also bonus eligible. 

How we work:

At Sonova, we prioritize the well-being of our employees and foster an inclusive environment that promotes engagement and collaboration. Our team-customized hybrid work model empowers teams to balance individual needs with business goals, offering flexibility and individualized time management. We recognize the importance of life outside of work and strive to create a supportive and motivating workplace where innovation thrives.