Job description

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To apply please email your resume to careers@sonus.com

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Position Title: Medical Insurance Collections Specialist

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Classification: Non-Exempt

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Reports to: Supervisor of Billing and Collections

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Position Summary:

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The role of the Medical Insurance Collections Specialist is to provide collections services of the highest quality while supporting the mission of Sonus Hearing Care Professionals – Serendipity Hearing, Inc.

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Essential Functions:

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Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Responsible to reduce 90 days plus of aged A/R.

• Analyze Explanation of Benefits (EOB’s) and Correspondence to identify zero pays and underpayments.

• Responsible to follow-up with healthcare insurance companies on outstanding medical claims and appeals.

• Review insurance cards, authorizations, and medical records.

• Verify patient insurance eligibility.

• Maintain open communication with the insurance verification team, billing department and office support staff.

• Conduct collection actions and provide resolution for complex accounts.

• Provide supporting documentation that supports collection actions.

• Perform other duties as assigned.

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Supervisory Responsibilities:

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· No supervisory responsibilities.

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Required Skills:

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· Must be persistent and maintain a professional demeanor.

· Ability to communicate in a professional manner; both verbally and written.

· Excellent interpersonal skills that allow effective working relationships with a wide range of patients, colleagues, and vendors.

· Proficient in Microsoft Office with strong Excel skills.

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Required Education and Experience

Experience and education requirements may be adjusted where necessary in response to labor market constraints.

• High School Diploma, Associates Degree or higher and/or specialized training in medical collections preferred.

• Minimum of 2 years’ experience performing medical claims resolution and management required.

• Minimum of one year of experience with collecting from government payers (Medicare & Medi-Cal) preferred.

• Ability to identify, research, and solve payers’ denials.

• Must have the ability to prioritize accounts receivable report based on importance.

• Qualified candidates must display strong time-management and organizational skills.

• Must be persistent and maintain a professional demeanor.

• Ability to communicate in a professional manner; both verbally and written.

• Excellent interpersonal skills that allow effective working relationships with a wide range of patients, colleagues, and vendors.

• Proficient in Microsoft Office with strong Excel skills.

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Other Duties:

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Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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Work Environment:

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This job operates in a professional office environment. This role routinely uses standard office equipment such as laptop computers and smartphones.

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Physical Demands:

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The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

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Expected Hours of Work:

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This is a full-time position. Standard days of work are Monday through Friday and hours of work may vary from 7:30 a.m. to 4:00 p.m. as needed. This position does not require weekend work.

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Job Type: Full-time

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Salary: $19.00 - $21.00 per hour

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Benefits:

 

• 401(k)

• Dental insurance

• Flexible spending account

• Health insurance

• Life insurance

• Paid time off

• Vision insurance

 

Schedule:

 

• 8 hour shift

• Day shift

• Monday to Friday

 

Ability to commute/relocate:

 

• Garden Grove, CA 92841: Reliably commute or planning to relocate before starting work (Required)

 

Education:

 

• High school or equivalent (Required)

 

Experience:

 

• Microsoft Office: 1 year (Preferred)

• Microsoft Excel: 1 year (Preferred)

• Medical collection: 1 year (Preferred)

 

Work Location: One location