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Who we are

In a life without sound, our work provides meaning. As a leading provider of innovative hearing care solutions, we are not just a company that makes products: we are a team on a mission to help people enjoy the delight of hearing. To enable a life without limitations, we – through our core business brands Phonak, Unitron, Hansaton, Advanced Bionics and AudioNova – develop, manufacture and distribute solutions that push the limits of technology and redefine the future of our industry.

Valencia (CA), United States

Insurance Reimbursement Specialist

Covid Protocol:

Upholding the company values is extremely important to Sonova, we take the health and safety of our employees, patients, customers and their families very seriously. To that end, we have concluded that the best way to ensure the safety of these individuals is to mandate that all of our newly-hired employees be fully vaccinated for COVID-19. Therefore, when considering whether to apply for this position, please know that in order to become employed by Sonova (if otherwise eligible), you must provide satisfactory proof, such as a vaccine card or other documentation, that you are fully vaccinated for COVID-19. You will not be required to provide this proof unless and until you receive a formal job offer from Sonova. Please also know that Sonova will provide accommodations to qualified individuals who cannot receive the COVID-19 vaccination because of a sincerely held religious belief or due to a medical issue or pregnancy.

 

What you’ll do:

Responsible for interfacing with patients, company sales and/or service representatives, ambulatory surgery & implant centers and insurance carriers to handle a variety of pre-sales and post-sales service functions in the area of insurance

Reimbursement: verifies benefits, prepares pre-authorization requests, documents approvals, and follow-up with appeals in response to insurance company denials. Obtains patient information and maintains database of patient files. Facilitates

Communication between insurers, clinics and patients, expedites exchange of required data and dealing with insurance problems. Exercises some independent judgment, works on assignments that are semi-routine in nature where ability to recognize deviation from accepted practice is required. Normally receives general instructions on

Routine work, detailed instructions on new assignments.

Establish working relationship with centers' billing staff. Answer telephone inquiries and obtains necessary information to set up patient charts and maintain files.

Refers patients to appropriate center for medical evaluation. Act as liaison, where necessary, to facilitate completion of evaluation.

Verify benefits, prepare and file pre-authorization requests and medical claims. Complete standard follow-through calls and monitor status of case until approved.

Maintain and update medical insurance database; understand full consequences for input into database.

Assist subordinates in preparing materials for presentation to clinics and insurers, e.g., ap

Coordinate with subordinates and supervisor with regard to complicated and problem cases and assist in appeals process.

Perform other related duties as assigned, including special projects.

Experience in medical insurance required. Two to three years experience in Insurance authorizations preferably in a medical device-manufacturing environment. 

 

 

Ability to communicate well with medical personnel, insurance representatives, customers and their families. Knowledge of the language of the medical profession. Be able to facilitate and educate, where necessary, between medical profession and customers.

Diplomacy, persistence, attention to detail in all facets of position. Sound administrative skills, to include written correspondence composition, and verbal communication skills in dealing with difficult situations. Windows 95/Office 97, Excel (to include spreadsheet programs and preparation), and Access proficiency.

What you bring to the team:

EDUCATION and TRAINING:  Degree preferred - business or biology. Insurance Authorization experience in Medical products will be considered in lieu of a degree.

 

PHYSICAL ENVIRONMENT / WORKING CONDITIONS: (i.e. assembly line, lifting requirements (up to ___ lbs), equipment used, etc. )

Our offer:

  • Exciting and challenging work environment
  • Comprehensive benefits package
  • Training and development opportunities – we believe every employee deserves a development plan. Come, learn, and grow with us!

 

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

 

We love to work with great people and strongly believe that a diverse team makes us better.  We guarantee every person equal treatment in regard to employment and opportunity for employment, regardless of race, color, creed/religion, sex, sexual orientation, marital status, age, mental or physical disability.

We thank all applicants in advance; however only individuals selected for an interview will be contacted.  All applications will be kept confidential. Sonova is an equal opportunity employer. Applicants who require reasonable accommodation to complete the application and/or interview process should notify the Director, Human Resources.

 

 

 

Sonova is an equal opportunity employer

We team up. We grow talent. We collaborate with people of diverse backgrounds to win with the best team in the market place. We guarantee every person equal treatment in regard to employment and opportunity for employment, regardless of a candidate’s ethnic or national origin, religion, sexual orientation or marital status, gender, genetic identity, age, disability or any other legally protected status.