ConvaTec Group
About Convatec
Convatec is a global medical products and technologies company focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Convatec’s revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE: CTEC). To learn more please visit http://www.convatecgroup.com.
Billing & Invoicing Scope Billing & invoicing work is focused on designing and ensuring compliance with billing and invoicing processes, including:
Information verification (e.g., ensure accuracy of billing information, negotiated terms and compliance with current legislation).
Monitoring customer accounts (e.g., ensure payments made on time, report on overdue accounts).
Resolving billing discrepancies (e.g., investigate and resolve billing & invoicing errors, recommend process improvements to avoid future errors).
May include collections activities.
Key Responsibilities
Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission.
Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims.
Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations.
Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer issues in an effort to recover proper reimbursement.
Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer information.
Performs other billing duties as requested by the Billing Supervisor, Billing Manager, or Director of Billing.
Qualifications / Education
High school diploma required; college degree preferred.
Six months to one year of related experience and/or training; or equivalent combination of education and experience.
Proficient in use of computers and software including, but not limited to, practice management software, word processing and spreadsheet applications.
Detail oriented with ability to multi-task.
Manages one’s own time with minimal supervision.
Strong mathematics and problem‑solving skills.
Seeks and shares pertinent information related to insurance or internal processes.
Communicates effectively both verbally and in writing to convey and receive information.
Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Self‑evaluates performance to make improvements or take corrective action.
Considers the relative costs and benefits of potential actions to choose the most appropriate one.
Uses equipment, facilities, and materials appropriately as needed to do certain work.
This position requires a commitment of 9 months before applying for alternative roles within the organization. Exceptions must be approved by Department leadership.
Physical Demands
Regularly required to sit, stand, walk, and occasionally bend and move about the facility.
Infrequent light physical effort required.
Occasional lifting under 10 lbs.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working Conditions
Work performed in an office environment.
Special Factors
This role can be performed remotely.
Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees. If you’re unsure, please contact us at careers@convatec.com.
Equal Opportunities Convatec provides equal employment opportunities for all employees and applicants. No discrimination on the basis of race, religion, creed, color, national origin, citizenship, ancestry, sex, age, marital status, disability, sexual orientation, gender identity, veteran status, genetic characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives Convatec does not accept unsolicited resumes from agencies or search firms for this posting. Resumes submitted by a third‑party agency without a written and signed search agreement become the sole property of Convatec. No fee will be paid if a candidate is hired for this position through an unsolicited agency referral.
Already a Convatec employee? Active employees should not apply here. Please use the Internal Career Site to view current opportunities.
#J-18808-Ljbffr
Billing & Invoicing Scope Billing & invoicing work is focused on designing and ensuring compliance with billing and invoicing processes, including:
Information verification (e.g., ensure accuracy of billing information, negotiated terms and compliance with current legislation).
Monitoring customer accounts (e.g., ensure payments made on time, report on overdue accounts).
Resolving billing discrepancies (e.g., investigate and resolve billing & invoicing errors, recommend process improvements to avoid future errors).
May include collections activities.
Key Responsibilities
Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission.
Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims.
Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations.
Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer issues in an effort to recover proper reimbursement.
Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer information.
Performs other billing duties as requested by the Billing Supervisor, Billing Manager, or Director of Billing.
Qualifications / Education
High school diploma required; college degree preferred.
Six months to one year of related experience and/or training; or equivalent combination of education and experience.
Proficient in use of computers and software including, but not limited to, practice management software, word processing and spreadsheet applications.
Detail oriented with ability to multi-task.
Manages one’s own time with minimal supervision.
Strong mathematics and problem‑solving skills.
Seeks and shares pertinent information related to insurance or internal processes.
Communicates effectively both verbally and in writing to convey and receive information.
Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Self‑evaluates performance to make improvements or take corrective action.
Considers the relative costs and benefits of potential actions to choose the most appropriate one.
Uses equipment, facilities, and materials appropriately as needed to do certain work.
This position requires a commitment of 9 months before applying for alternative roles within the organization. Exceptions must be approved by Department leadership.
Physical Demands
Regularly required to sit, stand, walk, and occasionally bend and move about the facility.
Infrequent light physical effort required.
Occasional lifting under 10 lbs.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working Conditions
Work performed in an office environment.
Special Factors
This role can be performed remotely.
Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees. If you’re unsure, please contact us at careers@convatec.com.
Equal Opportunities Convatec provides equal employment opportunities for all employees and applicants. No discrimination on the basis of race, religion, creed, color, national origin, citizenship, ancestry, sex, age, marital status, disability, sexual orientation, gender identity, veteran status, genetic characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives Convatec does not accept unsolicited resumes from agencies or search firms for this posting. Resumes submitted by a third‑party agency without a written and signed search agreement become the sole property of Convatec. No fee will be paid if a candidate is hired for this position through an unsolicited agency referral.
Already a Convatec employee? Active employees should not apply here. Please use the Internal Career Site to view current opportunities.
#J-18808-Ljbffr