Medical Reimbursement Specialist

Title: Medical Reimbursement Specialist (Remote in Wisconsin)

Location: United States

Remote

SUMMARY:

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.  

JOB RESPONSIBILITIES:

Billing and Invoice Management

• 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


 

Claims Processing and Insurance Coordination

• 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.


 

Record Management and Compliance

• 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


 

Customer and Team Support

• 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

 

BASIC QUALIFICATIONS:

• 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.


 

PREFERRED QUALIFICATIONS:

• 3-5 years of related experience within the DME or Life Science industry


• Medicaid, Medicare and commercial insurance knowledge preferred


• Brighttree experience preferred


 

SKILLS & ABILITIES:

• 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, professionalism, and adaptability.

WE OFFER

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.

Health & Wellness: 

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  • 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, and generous parental leave for both birthing and non-birthing parents.
  
  
  • Health Savings Account (HSA) with employer contributions


 

Financial Security: Competitive 401(k) with a dollar-for-dollar match up to 6% and immediate vesting, financial planning services, and corporate discounts.

State-of-the-art facility: Hybrid and onsite employees work from our state-of-the-art facility, thoughtfully designed with sit-stand desks, large monitors, and premium onsite amenities, including a gym and golf simulator.

Work-Life Balance: Flexible work options, Generous PTO plan, 10 paid holidays, and summer hours to help you recharge.

Professional Development: Ongoing learning and career growth opportunities through training, mentorship, and tuition reimbursement.