Reimbursement Specialist

Job description

Comfort Medical, a wholly owned subsidiary of Coloplast, is seeking a Reimbursement Specialist to join our team. This role is responsible for ensuring the timely and accurate resolution of accounts receivable through effective claims processing, cash collections, and appropriate write-offs. The ideal candidate will demonstrate a strong understanding of medical billing, insurance verification, and payment posting. They will be capable of independently investigating and correcting claim denials, resubmitting claims, and processing appeals. This position requires a high level of attention to detail, excellent organizational skills, and the ability to collaborate across departments. Major Areas of Accountability: - 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 reques...