Reimbursement Specialist I
Reimbursement Specialist I
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Job Description
GROW WITH US:
Tandem Diabetes Care creates new possibilities for people living with diabetes their loved ones and their healthcare providers through a positively different experience. Wed love for you to team up with us to innovate every day put people first and take the noshortcuts approach that has propelled us to become a leader in the diabetes technology industry.
STAY AWESOME:
Tandem Diabetes Care is proud to manufacture and sell the Tandem Mobi system and t:slim X2 insulin pump with Control IQ technology an advanced predictive algorithm that automates insulin delivery. But were so much more than that. Our companys humancentered approach to design development and support delivers innovative products and services for people who use insulin. Because many of our own team members live with type 1 diabetes or have a loved one impacted by diabetes the work is personal and we are committed to the cause. Learn more at DAY IN THE LIFE:
The primary responsibility of this position is to assure all insurance claims are processed timely accurately and efficiently. The Reimbursement Specialist is responsible to secure payments from both contracted and noncontracted insurance entities as well as customers. This position will work closely with our Customer Sales Support to assure data accuracy as well as communicating requirements from health insurance plans.
Shift; 6:30am 3:00pm PST.
YOURE AWESOME AT:
- Reviews medical criteria to assure patient documentation meets standards.
- Carefully reviews all patient related data and documentation for accuracy prior to claim submission.
- Creates and submits healthcare claims to insurance companies.
- Communicates with patients to advise on status of insurance claims as necessary.
- Contacts patients regarding collection of outstanding invoices.
- Fields inbound calls from patients regarding inquiries related to insurance claims.
- Makes outbound investigational calls to insurance providers to determine status of outstanding claims.
- Negotiates structured payment plans.
- Accesses CRM to receive and provide up to date patient claim information.
- Keeps up to date with specifications on all of Tandem products and services.
- Confirms completion of required training plan before assuming job responsibilities.
- Ensures work is performed in compliance with company policies including Privacy/HIPAA and other regulatory legal and safety requirements.
EXTRA AWESOME:
- BA/BS or equivalent combination of education and applicable job experience.
- 2 years experience in medical billing or equivalent experience.
- Experience in a HIPAA controlled environment is required.
- Experience billing durable medical equipment is preferred.
- Experience in diabetes or other disease management device/diagnostics is preferred.
- Understanding of medical billing insurance claim processing and follow up procedures.
- Understanding of all data required on a Health Care Financing Administration (HCFA) 1500 billing form.
- Knowledge of billing codes and modifiers assigned by the Centers for Medicare and Medicaid Services (CMS).
- Ability to understand Explanation of Benefits provided by healthcare providers.
- Knowledge of claims clearing houses and the basic functionality of these services.
- Demonstrated ability to effectively communicate over the phone with customers and insurance companies to resolve clearcut issues and answer questions according to department protocols and requirements.
- Able to effectively share information related to work product in verbal and written form.
- Able to contribute to the team by supporting the acceptance of new team members.
- Demonstrated ability to work accurately to follow instructions and schedules and handle multiple priorities.
- Experience with MS Office suite (Word Excel and Outlook) Internet & customer relationship management systems (CRM).
WHATS IN IT FOR YOU
In addition to innovative technology we have a culture that fosters the idea that the happiest people are the most productive people. Not only do we hire forwardthinking achievers to join our workforce; we reward develop and retain them too. Just one of the many reasons of how we #StayAwesome! To learn more about our culture and benefits please visit YOU WITH US!
We embrace the value that every single one of us brings to the table. But sometimes we forget that when we dont meet 100% of a job descriptions criteria maybe youre feeling that way right now We encourage you to apply anyway. Because we want you to be you with us.
Tandem is firmly committed to being an equal opportunity employer and does not discriminate on the basis of age disability sex race religion or belief gender identity or expression marriage/civil partnership pregnancy/maternity or sexual orientation. We are an inclusive organization and we welcome applications from a wide range of candidates. Selection for roles will be based on individual merit alone.
WHEN & WHERE YOULL WORK:
Remote: This position is fully remote and open to candidates within the United States. The shift is 6:30am 3:00pm PST. Equipment for the role will be provided and training will occur virtually.
COMPENSATION & BENEFITS:
The starting base pay range for this position is $21.00 $23.60 per hour. Base pay will vary based on jobrelated knowledge skills experience and may also fluctuate depending on candidates location and the overall job market. In addition to base pay Tandem offers a competitive compensation package that includes bonus and a robust benefits package.
Tandem offers health care benefits such as medical dental vision available your first day as well as health savings accounts and flexible saving accounts. Youll also receive 11 paid holidays per year a minimum of 20 days of paid time off (with accrual starting on day 1) and you will have access to a 401k plan with company match as well as an Employee Stock Purchase plan. Learn more about Tandems benefits here!
WHY YOULL LOVE WORKING HERE:
At Tandem we believe joy fuels excellence. Thats why weve built a workplace that celebrates your achievements and supports your wellbeing. Our team thrives on pushing boundaries and fostering growth all while maintaining a spirit of fun and camaraderie. This is just one of the ways we stay awesome! Explore the benefits and reasons to love Tandem at Make a move that matters. Join Tandem Diabetes Care where were turning challenges into triumphs every day and where your talents will help shape a healthier happier tomorrow.
YOU SHOULD KNOW:
Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable state and local Fair Chance laws and regulations. A conditional offer of employment from Tandem is contingent upon successful completion of a preemployment screening process comprised of a drug test (excluding marijuana) and background check which includes a review of criminal history information.
Tandem has good cause to conduct a review of criminal history for this position as this position will have access to customers protected health information and regular contact with customers. This review is required to ensure that individuals in such roles uphold high standards of trust and integrity so as to protect the interests of our customers employees and stakeholders.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
The position will be posted until a final candidate is selected for the requisition or the requisition has a sufficient number of applications
REFERRALS:
We love a good referral! If you know someone who would be a great fit for this position please share!
If you are applying for this job and live in California please read Tandems CCPA Notice:
#LIRemote #LIDW1
Required Experience:
Unclear Seniority
Employment Type
Full-Time
