[Hiring] Medical Billing Services Specialist @Coloplast A/S

Role Description

The Medical Billing Services Specialist maintains a timely revenue cycle including collecting on accounts for all of the goods provided by Atos Medical. This individual is responsible for collection activities at all levels of delinquency up to charge-off; supports all aspects of collections on all accounts including reimbursement from insurance payers and private pay customers.

Job Responsibilities

• Receive incoming calls from customers regarding patient accounts not limited to statements, billing, claims, denials, and all other reimbursement matters.
• Investigate escalated customer billing inquiries and take appropriate action to resolve the account.
• Research, resolve, correct, and prevent invoice discrepancies by active interaction with customers and other appropriate staff/departments.
• Route pending insurance and claims processing matters to appropriate staff for follow up.
• Communicate medical insurance coverage benefits (in network / out of network) including out of pocket responsibilities, deductible, and coinsurance.
• Answer questions regarding the processing of medical claims including denials by insurance companies for products provided.
• Resolve customers' billing complaints by performing activities in the billing cycle not limited to resolving hold accounts, granting adjustments (write-offs), and small balance reviews.
• Prepare and send correspondence to customers related to invoices and payment history when requested.
• Collaborate with internal staff to resolve account hold due to bad debt.
• Locate and notify customers of delinquent accounts by mail, telephone, or personal visits to solicit payment.
• Complete private pay charges for balances owed via checks and credit card payments.
• Arrange for debt repayment or establish repayment schedules, based on customers' financial situations.
• Perform detailed account reconciliations as needed to resolve complex disputed receivable issues.
• Collect on accounts by sending bills or following up on bills with payers via phone, email, fax, mail, or websites.
• Utilize collection techniques to resolve accounts according to company’s policies and procedures.
• Ensure organization receives accurate payment for goods provided according to contracted rates and/or payer fee schedules.
• Respond to Collection agency regarding patient disputes of balances owed on accounts.
• Reconcile the accounts receivable to ensure that all payments are accounted for and properly posted.
• Monitor system dashboard related to patient collections.
• Create daily reports from the system for patient collection activity.
• Follow up on patient collection report in system.
• Enter data in an accurate manner, into database including although not limited to payer, authorization requirements and coverage limitations.
• Responsible for the daily claims submissions/printing for all eligible/ready status claims.
• Monitor patient account details for non-payments, delayed payments, and other irregularities.
• Analyze documentation required for billing services and ensure compliance to payer requirements.
• Resolve pending revenue by reconciling received documentation and pending charges.
• Perform extensive account audits and ensure proper billing for services to the accurate payer.
• Ensure proper revenue recognition for billed charges and services moving forward.

Qualifications

• High School Diploma or G.E.D.
• 1 year of related experience in healthcare administration, financial or insurance customer service, claims, billing, or call center.

Preferred Qualifications

• Education: Associates Degree
• Experience: 2 + years of credit/collection experience in DME

Skills and Abilities

• Excellent decision-making abilities
• Analytical and problem-solving skills with attention to detail.
• Strong verbal and written communication.
• Excellent customer service skills.
• Ability to prioritize and manage multiple tasks.
• Knowledge of medical terminology used in medical billing, current office practices and procedures, and basic math.
• Knowledge of methods for qualifying for funding; collection laws, regulations, and techniques.

Benefits

• Comprehensive medical, dental, and vision coverage for you and your family.
• Access to company-sponsored wellness programs and mental health resources.
• Paid leave for qualifying events, and generous parental leave for both birthing and non-birthing parents.
• Health Savings Account (HSA) with employer contributions.
• Competitive 401(k) with company match, financial planning services, and corporate discounts.
• Hybrid and onsite employees work from our state-of-the-art facility, thoughtfully designed with sit-stand desks, large monitors, and premium onsite amenities, including a gym and golf simulator.
• Flexible work options, Generous PTO plan, 10 paid holidays, and summer hours to help you recharge.
• Ongoing learning and career growth opportunities through training, mentorship, and tuition reimbursement.
• Join a Top Workplace, as recognized by USA Today and the Milwaukee Journal Sentinel.