Billing Insurance Specialist

Amplifon Americas, parent company to Miracle-Ear, a world leader in hearing health care, has a strong demand for diverse, authentic, creative, and versatile talent for our Billing Insurance Specialist. We are looking for someone who is forward-thinking to help us strive towards everyday excellence while focusing on customer devotion and personal impact to ensure we are acting responsibly in everything we do. 

As a Billing Insurance Specialist, Insurance claim processing to help patients take advantage of their benefits and make hearing aid purchases more affordable. Follow up on claim statuses, investigate reasons for denials, and support the appeals process when necessary... 

Key Responsibilities: 

Medical Insurance  

• File and follow up on insurance claims. 

• Maintain claim status and support the appeals process. 

• Complete benefits verification process for patients as needed 

• Assist with prior authorization approval: Verify medical documentation, submit documentation to insurance and notify offices of claim status and appeal outcomes. 

Training/Education  

• Educate Office Managers on insurance processes and patient benefits. 

• Ensure FAQ documents and insurance-related forms are current and accessible on Blackboard. 

• Monitor clinic compliance with insurance protocols. 

• Meet regularly with the Amplifon team to discuss insurance updates, including fee schedules. 

• Respond to inquiries related to insurance billing. 

Clearinghouse Management  

• Manage the clearinghouse system and ensure NPIs are correctly loaded into the database. 

• Submit Explanation of Benefits (EOBs) when working with new insurance providers in new states.