Medical Reimbursement Specialist (Remote in Wisconsin)
New Berlin, US
Medical Reimbursement Specialist | Atos Medical-US | New Berlin, WI | Remote in Wisconsin
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 1300 skilled and engaged employees worldwide.
About Atos Medical
Atos Medical is a global leader in neck stoma care—dedicated to improving the lives of people living with laryngectomy and tracheostomy. With origins in Sweden and Germany, both our Laryngectomy and Tracheostomy brands bring decades of expertise and innovation in voice and respiratory care, offering trusted solutions such as the Provox® voice prosthesis and TRACOE tracheostomy products.
As part of the Coloplast Group, we operate in over 90 countries with a shared commitment to clinical excellence, patient support, and high-quality medical devices that help people breathe, speak, and live more comfortably.
We are seeking a Medical Reimbursement Specialist to join our team!
SUMMARY:
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 RESPONSIBILITIES:
Billing and Invoice Management
- 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.
Claims Processing and Insurance Coordination
- 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.
Record Management and Compliance
- 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.
Customer and Team Support
- 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.
BASIC QUALIFICATIONS:
- 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.
PREFERRED QUALIFICATIONS:
- Medicaid, Medicare and commercial insurance knowledge preferred
- Brighttree experience preferred
SKILLS & ABILITIES:
- Strong decision-making skills with sound judgment in complex situations.
- Excellent analytical and problem-solving abilities with keen attention to detail.
- Effective verbal and written communication skills across diverse audiences.
- Demonstrated commitment to providing exceptional customer service.
- Proficient in Microsoft Office Suite (Word, Excel, Outlook) and general computer applications.
- Ability to prioritize, manage, and complete multiple tasks in a fast-paced environment.
- Quick learner with strong technical aptitude and the ability to understand data flow and system interactions.
- Working knowledge of medical terminology, billing processes, office procedures, and basic mathematics.
- Ability to maintain strict confidentiality of sensitive information.
- Skilled in accessing and using database and billing software applications.
- Demonstrated competencies in customer service, judgment, organization, quality, professionalism, and adaptability.
WE OFFER
Atos Medical is a global leader headquartered in Sweden, united by a shared purpose and strong values. Guided by our superpowers—patient-centric, dedication, agile, and the belief that you never walk alone—we support and empower our users, our colleagues, and our partners every day. We believe in working together, growing together, and treating everyone we interact with—patients, coworkers, health care professionals, and partners—with respect and integrity.
You will be part of an ambitious work environment in which teams work together to continuously grow and develop the business. You will have great opportunities to learn and develop, and you will be offered a competitive salary package and benefits.
TOTAL REWARDS
At Atos Medical, a Coloplast company, we value and reward the contributions of our employees. Our total rewards package supports your well-being, professional growth, and work-life balance. Here's what you can expect:
Health & Wellness:
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- 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
Financial Security: 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: 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.
Work-Life Balance: Flexible work options, Generous PTO plan, 10 paid holidays, and summer hours to help you recharge.
Professional Development: Ongoing learning and career growth opportunities through training, mentorship, and tuition reimbursement.
Community & Culture: Join a Top Workplace, as recognized by USA Today and the Milwaukee Journal Sentinel. We foster a supportive environment where everyone feels valued and included. Engage in team-building, volunteer events, and our sustainability initiatives.
Atos Medical, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. To request reasonable accommodation to participate in the job application, please contact 800-217-0025.
Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox®, Provox Life™ and Tracoe.
We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business.
Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma.
Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S
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Nearest Major Market: Utica