Collection Specialist - Spokane, United States - Coloplast A/S

Description

Job Function Summary

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

• Perform collection follow-up on assigned accounts on a regular basis
• Request correct adjustments to resolve outstanding account balances
• Review, track, and where necessary, research outstanding payments to ensure timely receipt of payments in order to increase Comfort Medical's revenue and reduce accounts receivable.
• Complete adjustment requests in compliance with month end schedule
• Follow up on all denials prior to the payer's appeals deadline
• Identify denial trends and make recommendations for resolutions
• Prepare adjustments such as refunds, contractual differences, and write-offs for approval and processing
• Maintain accurate and detailed chart notes in system
• Verify that payments received are correct
• Answer patients' or insurers' billing questions
• Set up budget payment plans with patients and monitor repayment activity
• Correct posting payments and make charge adjustment to patient account
• Identify possible collection actions and refer collections issues to the Manager
• Other duties as assigned
• 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.

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 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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