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Solventum

DME Collections Specialist III

Solventum

DME Collections Specialist responsible for analyzing and reconciling healthcare accounts at Solventum. Ensuring accurate invoicing and prompt payments within business guidelines.

Posted 6/19/2026full-timeHeredia • 🇨🇷 Costa RicaJuniorMid-LevelWebsite

About the role

Key responsibilities & impact
  • Analyzing and reconciling initial Accounts Receivable and Order Entry exceptions
  • Ensuring accurate invoicing
  • Prompt payment within Solventum’s business practice and time-sensitive guidelines

Requirements

What you’ll need
  • High School Diploma/GED
  • Advanced English C1
  • Minimum of 1-2 years’ experience working in a medical healthcare setting
  • Performed medical insurance collections and managed accounts receivable (A/R) for healthcare claims, ensuring timely and accurate reimbursement
  • Initiated and followed up on short-payment appeals and medical appeals to resolve underpaid and denied claims
  • Analyzed and interpreted Explanations of Benefits (EOBs) to identify discrepancies, denial reasons, and payment variances
  • Conducted outbound payor calls to insurance companies to resolve claim issues, verify coverage, and negotiate appropriate reimbursement
  • Investigated and resolved complex A/R discrepancies by applying strong analytical and basic accounting skills
  • Demonstrated knowledge of accounting principles, including payment posting review, balance reconciliation, and revenue tracking
  • Maintained strict confidentiality of patient and financial information in compliance with HIPAA guidelines
  • Provided excellent customer service through professional telephone communication and effective issue resolution
  • Utilized strong problem-solving and negotiation skills to secure claim resolution and maximize reimbursement
  • Leveraged Microsoft Excel and Word to track appeals, document claim activity, and generate reports
  • Exercised sound business judgment when escalating issues and prioritizing high-value accounts

Benefits

Comp & perks
  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
accounts receivablemedical insurance collectionspayment posting reviewbalance reconciliationrevenue trackinganalyzing Explanations of Benefitsnegotiationproblem-solvingbasic accounting skillstimely reimbursement
Soft Skills
customer serviceprofessional communicationissue resolutionanalytical skillsconfidentialitybusiness judgmentprioritizationattention to detailnegotiation skillstime management
Certifications
High School DiplomaGED