Medical Billing Services Specialist

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

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.

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!

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.

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…