Medical Reimbursement Specialist; Remote in Wisconsin

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Location:

New Berlin, US

Job Family:
Consumer

Country/Region:
United States

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.

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!

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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 3-5 years of related experience within the DME or Life Science industry
• Medicaid, Medicare and commercial insurance knowledge preferred
• Brighttree experience preferred

• 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,…