Medical Reimbursement Specialist Job at Coloplast (New Berlin)

Medical Reimbursement Specialist

Coloplast

Location:
United States , New Berlin

Category:
Finance

Contract Type:
Not provided

Salary:

Not provided

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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
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Engage in team-building, volunteer events, and our sustainability initiatives.

Additional Information:

Job Posted:
March 26, 2026

Work Type:

Remote work

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