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Coloplast Logo Coloplast · Finance

Medical Reimbursement Specialist

United States, New Berlin · Job Posted March 26, 2026
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Job Description

A Reimbursement Specialist is responsible for the timely and accurate billing and insurance processing for Atos Medical products by preparing and submitting claims, verifying coverage, resolving denials, and maintaining compliant patient records. They collaborate with insurers, healthcare providers, and internal teams to support reimbursement outcomes and deliver a seamless experience for patients and clinicians.

Job Responsibility

  • Print and review invoices from the billing system to ensure completeness and accuracy in accordance with company, department, and insurance guidelines
  • Prepare invoices and patient insurance details for entry into claims filing software
  • Enter all required information into claims software to generate electronic, paper, or faxed claims
  • Prepare and submit secondary and tertiary claims as needed
  • Review accounts receivable and aging reports, taking appropriate action to keep accounts current
  • Contact insurance companies to verify claim status and provide any required documentation
  • Determine when claims must be forwarded to secondary or tertiary insurance
  • Review Medicare and commercial EOBs to confirm proper claim processing
  • Submit corrected claims or request refunds and write-offs as appropriate
  • Initiate contractual write-off requests and prepare and submit appeals when necessary
  • Maintain accurate and current billing files and patient insurance records
  • Update patient information as needed and follow up on missing or incomplete insurance details
  • Ensure all records comply with Medicare, HIPAA, and departmental requirements
  • Participate in surveys and inspections conducted by authorized agencies
  • Provide professional and courteous assistance to patients and clinicians regarding the reimbursement process
  • Collaborate with Customer Service and Customer Support teams to help expedite patient orders
  • Communicate discrepancies, issues, or complaints to the Reimbursement Supervisor
  • Prepare reports on billing activities as requested
  • Support department operations by backing up colleagues and performing additional duties assigned by the Payor Reimbursement Supervisor.

Requirements

  • Two years of medical billing and/or transferable healthcare experience
  • Exceptional customer focus and ability to work under tight deadlines
  • Demonstrated ability to review and process complex billing information and resolve discrepancies independently while coordinating effectively with team members and other departments.

Nice to have

  • 3-5 years of related experience within the DME or Life Science industry
  • Medicaid, Medicare and commercial insurance knowledge preferred
  • Brighttree experience preferred

What we offer

  • 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 a dollar-for-dollar match up to 6% and immediate vesting, financial planning services, and corporate discounts
  • 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
  • Ongoing learning and career growth opportunities through training, mentorship, and tuition reimbursement
  • Join a Top Workplace
  • Engage in team-building, volunteer events, and our sustainability initiatives.
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