Medical Billing Services Specialist

Coloplast; New Berlin (WI); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Hybrid and onsite facility

Generous PTO

Tuition reimbursement

Job summary

Atos Medical, part of the Coloplast group, seeks a Medical Billing Services Specialist to manage the revenue cycle for patient accounts. You will handle inquiries, resolve billing issues, and coordinate with internal teams to ensure accurate payments for services.

The role emphasizes patient billing, reimbursement processes, and collaboration across service centers, with opportunities for professional growth and a competitive compensation package.

Qualifications

• High School Diploma or GED required.
• 1 year of related experience in healthcare administration, financial or insurance customer service, claims, billing, or call center.
• Associates degree preferred; 2+ years credit/collection in DME advantageous.

Responsibilities

• Receive incoming calls from customers regarding patient accounts including statements, billing, claims and denials.
• Investigate escalated billing inquiries and take action to resolve the account.
• Research, resolve, correct, and prevent invoice discrepancies through interaction with customers and staff.

Skills

Decision making

Analytical skills

Communication

Customer service

Time management

Medical terminology

Funding knowledge

Education

High School Diploma

Associates Degree

Job description

Medical Billing Services Specialist | Atos Medical | New Berlin, WI | Remote

Location: New Berlin, WI

Job Family: Commercial Support

Country/Region: United States

Join a growing company with a strong purpose!

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 Billing Services Specialist to join our team!

SUMMARY

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

Service Center and Patient Financial Services

• 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.
• Researches, resolves, corrects, and prevents invoice discrepancies by active interaction with customers and other appropriate staff/departments.
• Routes 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 billing cycle not limited to resolving hold accounts, granting adjustments (write-offs), and small balance reviews.
• Prepares and sends correspondence to customers related to invoices and payment history when requested.
• Collaborates 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.
• Performs 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.
• Utilizes 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.

Accounts Receivable

• Ensure organization receives accurate payment for goods & services provided according to contracted rates and/or payer fee schedules.
• Reconcile the accounts receivable to ensure that all payments are accounted for and properly posted.

Data Support & Analytics

• Monitors system dashboard related to patient collections.
• Creates daily reports from the system for patient collection activity.
• Follow up on patient collection report in system.
• Responsible for entering 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.

Unbilled Revenue

• 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.
• Performs extensive account audits and ensures proper billing for services to the accurate payer.
• Ensures proper revenue recognition for billed charges and services moving forward.

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.

BASIC 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

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:

• 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 company match, 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

Nearest Major Market: Utica