Medical Reimbursement Specialist (Remote in Wisconsin)
ColoplastAbout the role
Medical Reimbursement Specialist | Atos Medical-US | New Berlin, WI
This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed.
Join a growing company with a strong purpose!
Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide.
About Atos Medical
Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That’s why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users.
We are seeking a Medical Reimbursement Specialist to join our team!
Summary:
This Reimbursement Specialist will support Atos Medical Management by providing excellent customer service to our patients through the billing reimbursement cycle. Time management and organization are imperative as this position interacts with inside and outside customers including but not limited to patients, customer service and accounting departments, outside sales team, Medicare and other private insurance companies.
Job Responsibilities:
- Print invoices from billing system. Review invoices for completeness and accuracy according to company and department billing guidelines and insurance process.
- Prepare invoices and patient insurance information to be entered into claims filing software.
- Enter appropriate and necessary information into claims filing software in order to prepare required claims to be sent electronically or by paper in the mail/fax.
- Prepare secondary or tertiary claims as necessary.
- Review customer/patient accounts receivable/aging and take necessary steps to keep accounts current.
- Contact insurance companies on claim status
- Review if claims need to be sent to secondary or tertiary insurance
- Obtain necessary documentation and provide to insurance company
- Request refunds, write-offs as necessary
- Review Medicare and Commercial EOBs to make sure it was processed properly
- Contact insurance companies or submit corrected claims as necessary
- Submit requests to write-off agreed amount contractual write-offs
- Prepare and submit necessary appeals
- Communicate with Reimbursement Supervisor as needed with regard to discrepancies and complaints.
- Works cooperatively with Customer Service and Customer Support Group in order to help expedite patient orders.
- Answer incoming calls from patients and clinicians about the reimbursement process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner.
- Maintain current files and billing records, and make changes as needed so that patient information on file is accurate and complete.
- Follow-up on incomplete or missing insurance information from patients or clinicians.
- Provide reports on billing activities as requested by Reimbursement Supervisor.
- Establish and maintain required billing records and patient insurance information according to Medicare, HIPAA and other department guidelines.
An individual in this position must be able to successfully perform the essential duties and responsibilities listed above. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
Basic Qualifications:
High School Diploma or G.E.D.
Two years medical billing and or reimbursement experience
Preferred Qualifications:
Education: Associates Degree
Experience: 2 + years of background in customer service in a health care rela
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