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About the Role
The Medical Billing Services Specialist maintains a timely revenue cycle, including collecting on accounts for all goods provided by Atos Medical. This individual is responsible for collection activities at all levels of delinquency up to charge-off and supports all aspects of collections on all accounts, including reimbursement from insurance payers and private pay customers.
Responsibilities
- Receive incoming calls from customers regarding patient accounts, including statements, billing, claims, denials, and all other reimbursement matters.
- Investigate escalated customer billing inquiries and take appropriate action to resolve the account.
- Research, resolve, correct, and prevent invoice discrepancies through active interaction with customers and other appropriate staff/departments.
- Route 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 the billing cycle, including resolving hold accounts, granting adjustments (write-offs), and small balance reviews.
- Prepare and send correspondence to customers related to invoices and payment history when requested.
- Collaborate with internal staff to resolve account holds 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.
- Perform 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.
- Utilize collection techniques to resolve accounts according to company's policies and procedures.
- Ensure the organization receives accurate payment for goods provided according to contracted rates and/or payer fee schedules.
- Respond to collection agencies regarding patient disputes of balances owed on accounts.
- Reconcile the accounts receivable to ensure that all payments are accounted for and properly posted.
- Monitor system dashboard related to patient collections.
- Create daily reports from the system for patient collection activity.
- Follow up on patient collection reports in the system.
- Enter data accurately into the database, including payer, authorization requirements, and coverage limitations.
- Perform daily claims submissions/printing for all eligible/ready status claims.
- Monitor patient account details for non-payments, delayed payments, and other irregularities.
- Analyze documentation required for billing services and ensure compliance with payer requirements.
- Resolve pending revenue by reconciling received documentation and pending charges.
- Perform extensive account audits and ensure proper billing for services to the accurate payer.
- Ensure proper revenue recognition for billed charges and services moving forward.
Requirements
- 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.
Skills
- 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
- Knowledge of current office practices and procedures
- Basic math skills
- Knowledge of methods for qualifying for funding
- Knowledge of collection laws, regulations, and techniques
Location
- New Berlin, WI
- Remote
Work Type
- Remote
Experience Level
- 1 year of related experience
- 2 + years of credit/collection experience in DME
Education Level
- High School Diploma or G.E.D.
- Associates Degree
Benefits
- 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
- Generous parental leave for both birthing and non-birthing parents
- Health Savings Account (HSA) with employer contributions
- Competitive 401(k) with company match
- Financial planning services
- Corporate discounts
- State-of-the-art facility with sit-stand desks, large monitors, and premium onsite amenities, including a gym and golf simulator
- Flexible work options
- Generous PTO plan
- 10 paid holidays
- Summer hours
- Ongoing learning and career growth opportunities through training, mentorship, and tuition reimbursement
About the Company
- 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.
- 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.
- 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
Equal Opportunity
- 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.