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Reimbursement Specialist

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Coloplast

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Location:
United States , Coral Springs

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Category:

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Contract Type:
Not provided

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Salary:

23.53 USD / Hour

Job Description:

This role is responsible for ensuring the timely and accurate resolution of accounts receivable through effective claims processing, cash collections, and appropriate write-offs. The ideal candidate will demonstrate a strong understanding of medical billing, insurance verification, and payment posting. They will be capable of independently investigating and correcting claim denials, resubmitting claims, and processing appeals. This position requires a high level of attention to detail, excellent organizational skills, and the ability to collaborate across departments.

Job Responsibility:

  • Review, correct, and process claims for all payers, both electronically and manually
  • Investigate and resolve claim denials, making corrections as needed
  • Apply accurate contractual adjustments to resolve outstanding balances
  • Respond to billing inquiries from patients and insurance representatives professionally and promptly
  • Reconcile patient collections and deposits
  • Identify and report denial trends
  • propose solutions to reduce future denials
  • Process refund requests and ensure compliance with payer guidelines
  • Maintain accurate and detailed documentation within patient account
  • Process appeals, including online and paper submissions
  • Submit outstanding accounts receivable daily per company protocol
  • Work claims exceptions (ERL rejections) through the clearinghouse each day
  • Interpret Accounts Receivable and apply correct adjustments in accordance with accounting principles
  • Provide outstanding service to patients, internal teams, and third-party payers
  • Review and resolve aged held billing issues (e.g., sales orders not auto-confirming due to errors)
  • Collaborate effectively across departments to gather and share necessary data
  • Adapt to changes in a fast-paced, evolving work environment
  • Position may require occasional cross-departmental support, including insurance verification and payment posting
  • Comply with all HIPAA, legal, and ethical standards, including Advanced Code of Ethics
  • Coloplast employees are required to conduct business to the highest ethical and professional standards
  • comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies
  • Occasionally, employees currently recognized as high performers through recent performance evaluations, or employees with current demonstrated productivity leadership compared to other employees on existing metrics may be asked to engage in overtime
  • Comfort Medical employees are required to conduct business to the highest ethical and professional standards
  • comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies
  • Other job duties as assigned

Requirements:

  • High school diploma or equivalent
  • Minimum of 3 years’ experience in collections
  • At least 1 year of experience in healthcare billing, insurance verification, or government medical programs (DME experience preferred)
  • Strong knowledge of medical terminology and healthcare reimbursement processes
  • Proficiency in reading and interpreting claim rejections and EOBs (Explanation of Benefits)
  • Solid negotiation skills and proven track record in collections

Nice to have:

  • Experience in DME (Durable Medical Equipment) billing and collections
  • Bilingual in Spanish and English
  • Brightree Software
What we offer:
  • Comprehensive medical, dental, and vision insurance plans
  • Access to company sponsored wellness programs and mental health resources
  • Paid leave of absence for qualifying events
  • Generous paid parental leave for both birthing and non-birthing parents
  • Competitive 401(k) plan with company match that vest immediately
  • Financial planning services
  • Corporate discount programs for goods and services
  • Generous paid time off
  • Flexible work hours
  • Flexible work arrangement options
  • Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement
  • Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events
  • A supportive work environment
  • Participate in team-building activities, volunteer opportunities, and company-sponsored events

Additional Information:

Job Posted:
January 05, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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