Collection Specialist (Insurance/Payer Focused)

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.
  
  
  
  

Comfort Medical provides an extensive selection of name brand catheter and ostomy supplies to thousands of customers nationwide. Our attention to detail, unmatched customer service, and dedication to helping our customers live happier, healthier lives are just a few of the many reasons we are one of the fastest growing catheter and ostomy supply companies in the nation!

Comfort Medical employees are required to conduct business to the highest ethical and professional standards; comply with applicable laws and regulations, the Advamed Code of Ethics on Interactions with Healthcare Professionals, and company policies.

Comfort Medical is committed to a policy of Equal Employment Opportunity (EEO) which means we employ and promote individuals based on their merits, regardless of race, color, religion, sex, national origin, age, disability, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status, status with regards to public assistance or any other protected classification.

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