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Reimbursement Quality Assurance Order Review Specialist

External
cochlear logoCochlear · Lone Tree, CO
Full-timeHybridToday
ComplianceExcelHIPAA
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About the role

Change people's lives and love what you do at Cochlear-the most recognized brand in hearing health care-helping people hear and be heard around the world, while being part of one of Denver Business Journal's 2026 Best Places to Work honorees in Denver. This position will be responsible for upholding the highest level of quality assurance in accurately reviewing product and service orders. This role ensures the highest mitigation of the risk of order non-payment and compliance with all state and federal regulations and laws as orders transition from order review to shipping and billing and collections. Working collaboratively with Customer Service, Reimbursement Operations, Finance, Reimbursement Billing and Recipient Account Collections, Reimbursement Order Review, and Supply Chain team members, this role also ensures timely completion of all reimbursement order reviews. In this role, you will be based in our Americas head office in Lone Tree, CO. This role is hybrid, requiring you to be in the office 3 days per week minimum, with 2 days per week working from home.

Responsibilities

  • Review all Reimbursement Billing Services Orders prior to shipment to ensure accuracy, completion, and compliance requirements are met.
  • Responsible for understanding and following federal, state, and local agency coverage, Medicare and Medicaid guidelines, payor specific billing guidelines and regulations and using this understanding as a baseline for all order reviews.
  • Key Requirements
  • To add value to Cochlear in this role you'll be able to meet and demonstrate the following knowledge, skills and abilities in your application and at interview:
  • High school diploma or GED
  • 1+ year(s) working with compliance regulations associated with medical billing (HIPAA and CMS guidelines), experienced with Medicaid and Medicare reimbursement processes and procedures, ability to check DME orders for completeness and compliance with state, federal and local laws
  • 2-3 years of actively using Microsoft Excel with an emphasis on understanding spreadsheet details

Benefits

In addition to the opportunity to develop your knowledge and grow professionally, we offer competitive wages and benefits.Pay Range in the United States: $27.00/hr - $30.00/hr based upon experience, as well as an annual bonus opportunity of 5% of base salary. Exact compensation may vary based on skills, experience, and location.Benefit package includes medical, dental, vision, life and disability insurance as well as 401(K) matching with immediate vesting, Paid Time Off, tuition reimbursement, maternity and paternity leave, Employee Stock Purchase Plan and pet insurance.Who are we?Human needs have always been our inspiration, ever since Professor Graeme Clark set out to create the first multi-channel cochlear implant because he saw his father struggle with hearing loss. We always start with people in mind - thinking about their needs.For this reason, our products, services and support will continue to evolve and improve. We are by our customers' side through the entire hearing journey, so they can experienHealth insuranceDental insuranceVision insurance401(k)Equity / stock optionsPerformance bonus

Additional Information

Change people's lives and love what you do! Cochlear is the most recognized brand in hearing health care. Reimbursement Quality Assurance Order Review Specialist Position Spotlight: Proven experience in insurance and authorizations will make you a great candidate for this role Use your detail-orientation to audit incoming sales orders to ensure accurately and timely processing Currently looking for individuals who can work the 9:00am - 5:30pm shift. Flexibility to work 9:00am - 6:00pm shift as desired


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