DME Claim Submission Specialist

3M Health Care is now Solventum. 

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.  

We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. 

The Impact You Will Make in this Role. 

As a DME Claim Submission Specialist, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: 

• Supporting the necessary actions related to V.A.C. ® Therapy claims and billing and will be required to work on numerous reports to drive cleaner claim submissions. 

• You will need to analyze and prioritize work, effectively use business and clinical data in accordance with policies, meet weekly/monthly/quarterly production expectations based on department priorities. 

• Review payer websites, contact payers, patients, and physician offices through (outbound/inbound) calls or email, to obtain the necessary information for billing. 

• You will update claim information and re-filing claim in a timely manner. 

Your Skills and Expertise   

 
Medical billing requires attention to detail and experience with the electronic and paper systems used in billing healthcare services.  

To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: 

• High School Diploma/GED or higher (completed and verified prior to start). 

• Proficient Experience with Microsoft Office applications including Word, Excel, and Outlook. 

• Two (2) years of experience in Medical Billing or Healthcare Support. 

In addition to the above requirements, the following are also required:  

• Familiarity with Electronic Health Records systems, as the role involve accessing and updating patient information within electronic medical records. 

• Attention to detail and accuracy, candidates must have a keen eye for detail and the ability to maintain accuracy while processing billing information and documentation.  

• Time management and organizational skills, prioritizing tasks, managing work efficiently, and meeting deadlines are essential.  

• Compliance knowledge, candidates should understand HIPAA regulations and other compliance standards governing patient privacy and healthcare billing practices.  

Additional qualifications that could help you succeed even further in this role include: 

• Experience working in a post-acute care setting including Home Health Agencies, Skilled Nursing Facilities, Wound Care Centers or with providers in this sector is a plus. 

• Experience with CPT and HCPCS coding systems and ICD-10 diagnosis coding.  

Work location:  

• Hybrid Eligible (Job Duties allow for remote work but require travel to Belen, Heredia when requested). 

Must be legally authorized to work in the country of employment without sponsorship for employment visa status (e.g., H1B status). 

Supporting Your Well-being  

Solventum offers many programs to help you live your best life – both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.