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Collections Specialist Job Details | Sonova AG
Sonova Chicago, IL
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$43k-55k (estimate)
Full Time Just Posted
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Sonova is Hiring a Collections Specialist Job Details | Sonova AG Near Chicago, IL

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, Connect Hearing, and Advanced Bionics - develop, manufacture, and distribute solutions that push the limits of technology and redefine the future of our industry. Our talented and committed employees all over the world know they contribute to something greater than themselves - they create sense.

The Way We Work

At Sonova we value our employees and prioritize their well-being. We believe people do their best and most innovative work in an inclusive environment that provides opportunities for engagement and collaboration across teams while offering flexibility in how work gets done. We designed our work model team by team, empowering teams to customize a working environment that balances individual team needs with business outcomes. By offering work options, we foster more flexible and individualized time management, contribute to healthy work-life integration, increase employee satisfaction, build meaningful partnerships at work, and calibrate productivity to acknowledge you have a life outside of work. Sonova has chosen a HYBRID WORK MODEL- Customized by a team that keeps our employees motivated and engaged.

Sonova Values

At Sonova, we come to work every day knowing that continuous innovation across all disciplines, our shared engagement as a team, and our responsible approach to all things we do, bring the delight of hearing to millions of people: to hear better, to listen to music, to communicate effortlessly with friends and loved ones, and to fully enjoy life with all its great variety of sounds. In doing so, our shared core values reflect the corporate culture that defines and unites us as a company across all brands and regions.

* We Care -- We care for our employees, customers, and consumers, as well as our shareholders and society.

* We drive innovation -- We courageously pioneer new ideas and approaches to come up with impactful innovations, to delight customers and consumers.

* We strive for excellence -- We act with agility. We aim to excel. We continuously work on improving products, services, processes, and skills, to realize growth.

* We take accountability -- We deliver on our commitments. We take accountability to provide outcomes in agreed quality and time, always acting with integrity.

* We build the best teams -- We team up. We grow talent. We collaborate with people of diverse backgrounds to win with the best team in the marketplace.

Collections Specialist - Aurora, Illinois

The Collections Specialist is responsible for identifying and reporting inefficiencies and opportunities that enhance the revenue flow. In addition, the Collections Specialist participates in updating denial management tools in preparation for routine annual and mid-year coding changes. Analyze the claim, explanation of benefits, correspondence, payor webs, site and/or any additional information necessary to identify the next appropriate action toward account resolution.

* Follows government and third-party payor guidelines to ensure complete and timely follow-up on claims that have open balances, were rejected, or denied.

* Performs appeals by following government and third-party payor appeals guidelines. Review payor contracts and fee schedules to perform underpayment appeal Contacts patients or appropriate payor representatives via phone or electronically to coordinate benefits and submits claim in the correct filing order. Works to identify other payors when possible and ensures all payors and filing order is current in the registration application.

* Collaborates with the Revenue Cycle Analyst to identify patterns and interpret denial trends. Notifies Manager when insurance plans deny services, which are covered based on the contract terms or government guidelines.

* Works to minimize write-offs by exhausting all resolution options and performing thorough research/review of all appropriate resources. Adjusts account or requests write-offs adhering to Connect Hearing policies and procedures.

* Reviews denial reports and makes recommendations for edit modifications and additions based on claim denials. Analyzes and tracks appeals.

* Meets productivity and quality standards

* Research payor and government websites and medical resources, to identify payor claim requirements required to resolve open accounts receivable.

* Collaborates with Coding Analyst/Specialist or Clinician to resolve coding-related denials.

* Targets and reports any internal procedures or processes that may increase days in accounts receivable or delay claim resolution.

* Interacts with patients, government, and third-party payors to respond to billing requests.

* Provides customer service for patients by responding to inquiries and processing and posting patient credit card payments as needed.

* Documents using standardized notes for all insurance follow-up and account resolution activities in the revenue cycle application.

* Remains current with trends, regulatory requirements, and business strategies related to the revenue cycle.

* Operates in compliance with all local, state, and Federal laws as well as Company policy and compliance standards

* Other duties and responsibilities as assigned

Education:

High School Diploma, Bachelor's Degree in a related field preferred, or equivalent experience

Certifications:

Not applicable

Industry/Product Knowledge Required:

* Knowledge of government and third-party payor claims submission, denial resolution, and appeals processes

* Knowledge of Durable Medical Equipment requirements

* Experienced with patient accounting systems

* Experienced with paper and electronic CMS-1500 claim requirements

* Medical terminology required for accurate claims processing

* Knowledge of CPT, HCPCS, and ICD coding systems

Skills/Abilities:

* Ability to interpret and apply government and third-party payor billing guidelines, claim rules, and contract terms

* Detail-oriented with a high level of problem-solving skills

* Ability to work effectively within designated time frames

* Ability to collaborate and work cohesively as part of a team

* Experience working in revenue cycle applications to resolve patient accounts

* Communicates effectively orally and in writing

* Experience with Word and Excel

Work Experience:

* 3- 4 years of related experience in a physician or hospital setting

* Previous experience in a centralized business office is preferred

Health Benefits and Perks:

* 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

* Company-paid Short/Long-Term Disability coverage (STD/LTD)

* STD LTD Buy-ups are available

* Accident/Hospital Indemnity coverage

* Legal/ID Theft Assistance

* PTO, 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

* D&I focused: D&I council and employee resource groups

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

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 marketplace. We guarantee every person equal treatment regarding 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.

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.

Job Summary

JOB TYPE

Full Time

SALARY

$43k-55k (estimate)

POST DATE

06/01/2024

EXPIRATION DATE

06/14/2024

WEBSITE

sonova.com

HEADQUARTERS

AURORA, IL

SIZE

3,000 - 7,500

FOUNDED

1947

REVENUE

<$5M

INDUSTRY

Business Services

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About Sonova

Over 20% of the worlds adult population is affected by hearing loss. At Sonova, we consider this number to be too high, and envision a world where everyone enjoys the delight of hearing and therefore lives a life without limitations. Since the foundation of our company in 1947, we have been on a mission to become the recognized innovation leader in the global hearing care market. We are committed to offering the most comprehensive solutions from hearing aids to cochlear implants to wireless communication solutions to treat all forms of hearing loss and improve quality of life, as well as mas ... ter the most challenging hearing situations. Our brands Phonak, Unitron, Hansaton, Advanced Bionics and AudioNova cover the entire hearing spectrum. With a presence in over 100 countries and a workforce of over 14,000 dedicated employees, we leverage our global infrastructure and local roots. We aim for a work environment and culture that fosters a good balance of family and work life for both men and women. We are therefore pleased that 39% of our management positions are filled by women and that 63.5% of our employees are female. Furthermore, 45% of our employees belong to Generation Y (born between 1979 and 1994). By supporting the Hear the World Foundation, Sonova pursues its vision of a world where everyone enjoys the delight of hearing and therefore lives a life without limitations. For more information please visit www.sonova.com and www.hear-the-world.com or contact us via hr@sonova.com. More
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