Transportation Claims Specialist
Rockwell Automation
PMPSwift
Insurance Reimbursement Supervisor
Coloplast
full-time
Posted on:
Location Type: Hybrid
Location: New Berlin • Wisconsin • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Supervise daily tasks and manage workflow to ensure performance standards are achieved
- Support team success by coaching, counseling, conducting quality audits, and providing performance feedback
- Facilitate regularly one-on-one meetings and group training sessions to encourage growth and continuous improvement
- Assist with developing and implementing training materials and ongoing training programs
- Lead hiring, onboarding, and performance review processes for direct reports
- Review and approve timecards and PTO requests
- Foster a collaborative, supportive work environment across functional areas
- Oversee collection activities to ensure timely patient payments and initiate follow-up on outstanding balances to avoid external collection escalation
- Review AR Aging reports, DSO, and Collections Ratios to identify payments received, outstanding, in-collection, and uncollectable
- Ensure accurate billing processes for patients, insurance companies, government health programs, and third-party payers
- Serve as the primary escalation point for billing and reimbursement inquiries
- Deliver high-quality customer service through timely responses, and professional communication
- Maintain departmental standards for one-call resolution and minimal voicemail usage
- Assist in responding to customer complaints in compliance with the Company Quality System
- Continuously evaluate and redesign processes to improve stakeholder experience, adhere to established metrics, and implement improvements
- Represent the Company professionally and courteously in all interactions with patients, providers, and internal partners
- Ensure compliance with applicable laws, regulations, and internal policies
- Identify areas for improvement, develop solutions, and implement process enhancements with team input
- Maintain accurate departmental records in accordance with guidelines
- Participate in company committees and cross-functional projects as assigned
- Actively support departmental and company initiatives with a positive, solutions-oriented approach
- Provide regular reports, statistics, and status updates to management
- Monitor and analyze results to identify trends and guide decision-making
- Other additional responsibilities as assigned by management to meet business priorities
Requirements
- High school diploma or GED
- 5 years of medical billing and customer service experience
- 1-2 years of leadership or combination of training and mentorship experience
- Demonstrated ability to work under pressure, maintain awareness of, and seek to meet the needs and wants of customer without being prompted
- 5 years of experience working with DME in and out of network benefits (preferred)
- 2+ years of direct management experience in a related field (preferred)
- Certified coder is favorable
- Working knowledge of CPT, ICD-9 and ICD-10 coding, as well as State and Federal regulations and guidelines
- Knowledge of procedures and data flow in a health care organization; experience with DME billing preferred
- Accounts receivable software experience, general systems knowledge including the ability to read standard billing reports and use analytical tools, Brightree a plus
- PC literate
- Knowledge of SAP, and Microsoft Office Programs highly recommended
Benefits
- Flexible work schedules with summer hours
- Market-aligned pay
- 401k dollar-for-dollar matching up to 6% with immediate vesting
- Comprehensive benefit plan offers
- Flexible Spending Account (FSA)
- Health Savings Account (HSA) with employer contributions
- Life Insurance, Short-term and Long-term Disability
- Paid Paternity Leave
- Volunteer time off
- Employee Assistance Program
- Wellness Resources
- Training and Development
- Tuition Reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billingcustomer serviceleadershipmentorshipCPT codingICD-9 codingICD-10 codingaccounts receivableanalytical toolsDME billing
Soft skills
coachingcounselingperformance feedbackcollaborationcommunicationproblem-solvingprocess improvementcustomer complaint resolutionteam supporttime management
Certifications
high school diplomaGEDcertified coder