Job Description

Job Duties:

20% - Reimbursement & Benefits Verification

Verify hearing aid benefits and coverage prior to patient appointments

Interpret commercial, Medicare Advantage, Medicaid, and managed care policies

Determine prior authorization requirements

Estimate patient financial responsibility

Communicate coverage details to patients and clinical staff

20% - Payer Relations & Policy Management

Serve as the primary contact for insurance carriers regarding hearing device coverage

Monitor payer policy updates related to hearing aids and audiology services

Escalate coverage denials and negotiate reconsiderations

Maintain payer-specific coverage guidelines and documentation requirements

Support contract negotiations with managed care organizations (if applicable)

20% - Pricing & Financial Oversight

Monitor manufacturer pricing and reimbursement ...