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Collections Specialist

2 months ago

Chicago, United States Sonova Full time

Select how often (in days) to receive an alert: 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. 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 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 Hearing aid discount for employees and family Internal social recognition platform D&I focused: D&I council and employee resource groups 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.

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