AR/Reimbursement Specialist

Comfort Medical, a wholly owned subsidiary of Coloplast, is seeking a Collections Specialist who will be responsible for timely and accurate resolution of accounts either through cash collections or write-offs. You will also be responsible for correctly resubmitting accurate claims (electronically and manually).

Major Areas of Accountability

• Responsible for correcting, completing, and processing claims for all payers
• Investigate the validity of denials and properly work to correct any errors
• Accurately process contractual adjustments to resolve outstanding balances
• Assist in reconciling deposit and patient collections
• Process appeals online or via paper submission
• Identify denial trends and make recommendations for resolutions
• Process refund requests
• Maintain accurate and detailed chart notes in system
• Resolve billing calls and questions from patients and insurance representatives
• Other duties as assigned
• Overtime available on an approved basis, based on productivity during core working hours

Basic Qualifications

• High school diploma required
• Minimum of 3 years of collections experience and 1 year of experience in collections and receivables for patients, insurance verification, or government medical programs OR 1 year of relevant DME experience
• Strong background and proven success in collections and negotiation skills
• Excellent medical terminology skills
• Ability to learn and understand reimbursement issues and Medicare guidelines
• Bilingual (Spanish/English) is a plus, but not required
• Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, HIPAA, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.