Comfort Medical, LLC · 2 hours ago
Reimbursement Specialist
Minneapolis, MN
Full-time
Onsite
Mid Level
3+ years expComfort Medical, a subsidiary of Coloplast, is seeking a Reimbursement Specialist to join their team. This role is responsible for ensuring the timely and accurate resolution of accounts receivable through effective claims processing and cash collections, while also correcting claim denials and processing appeals.
Health CareMedical Device
Responsibilities
Review, correct, and process claims for all payers, both electronically and manually
Investigate and resolve claim denials, making corrections as needed
Apply accurate contractual adjustments to resolve outstanding balances
Respond to billing inquiries from patients and insurance representatives professionally and promptly
Reconcile patient collections and deposits
Identify and report denial trends; propose solutions to reduce future denials
Process refund requests and ensure compliance with payer guidelines
Maintain accurate and detailed documentation within patient account
Process appeals, including online and paper submissions
Submit outstanding accounts receivable daily per company protocol
Work claims exceptions (ERL rejections) through the clearinghouse each day
Interpret Accounts Receivable and apply correct adjustments in accordance with accounting principles
Provide outstanding service to patients, internal teams, and third-party payers
Review and resolve aged held billing issues (e.g., sales orders not auto-confirming due to errors)
Collaborate effectively across departments to gather and share necessary data
Adapt to changes in a fast-paced, evolving work environment
Position may require occasional cross-departmental support, including insurance verification and payment posting
Comply with all HIPAA, legal, and ethical standards, including Advanced Code of Ethics
Coloplast 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
Occasionally, employees currently recognized as high performers through recent performance evaluations, or employees with current demonstrated productivity leadership compared to other employees on existing metrics may be asked to engage in overtime
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
Other job duties as assigned
Qualification
Required
High school diploma or equivalent
Minimum of 3 years' experience in collections
At least 1 year of experience in healthcare billing, insurance verification, or government medical programs (DME experience preferred)
Strong knowledge of medical terminology and healthcare reimbursement processes
Proficiency in reading and interpreting claim rejections and EOBs (Explanation of Benefits)
Solid negotiation skills and proven track record in collections
Preferred
Experience in DME (Durable Medical Equipment) billing and collections
Bilingual in Spanish and English
Brightree Software
Benefits
Comprehensive medical, dental, and vision insurance plans to keep you and your family healthy.
Access to company sponsored wellness programs and mental health resources.
Paid leave of absence for qualifying events.
Generous paid parental leave for both birthing and non-birthing parents.
A competitive 401(k) plan with company match that vest immediately.
Financial planning services to help you secure your future.
Corporate discount programs for goods and services.
Generous paid time off.
Flexible work hours.
Flexible work arrangement options to help you balance your personal and professional life may be available.
Opportunities for continuous learning and career advancement through training programs, mentorship, and tuition reimbursement.
Recognition programs to celebrate achievements and contributions, including peer recognition, bonuses, awards, and special events.
A supportive work environment where everyone feels valued, and has a sense of belonging.
Participate in team-building activities, volunteer opportunities, and company-sponsored events.
Sustainability strategy that outlines our ambitions for how to run our company in a more sustainable way.
Company
Comfort Medical, LLC
Choose a supplier that delivers reliable, personalized service for catheter, incontinence, and bowel management supplies.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2016-11-30Acquired
Company data provided by crunchbase