Reimbursement Specialist I
3.
7 San Diego, CA San Diego, CA Full-time Full-time $21 - $23 an hour $21 - $23 an hour 10 hours ago 10 hours ago 10 hours ago 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.
We'd love for you to team up with us to innovate every day, put people first, and take a no-shortcuts 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 t:
slim X2 insulin pump with Control-IQ technology.
We're also so much more than that.
Our company's human-centered approach to design, development, and support delivers innovative products and services for people who use insulin.
Since 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 tandemdiabetes.
com.
A 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 non-contracted 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.
This position will be fully remote within the United States, and must be willing to start between 6:
30-7:
30 am PT or equivalent time zone schedule.
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.
Additional duties as assigned by the management team.
YOU'RE AWESOME AT:
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 heath care 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 clear-cut 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).
Minimum certifications/educational level:
BA/BS or equivalent combination of education and applicable job experience.
Minimum
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.
WHAT'S 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 forward-thinking 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 https:
//www.
tandemdiabetes.
com/careers.
BE YOU, WITH US! Tandem is firmly committed to being an equal opportunity employer and maintaining a diverse and inclusive environment.
We value and embrace that every single one of us brings value to the table.
But sometimes we forget that when we don't meet 100% of a job description's criteria - maybe you're feeling that way right now? We encourage you to apply anyway.
Because we want you to be you, with us.
COMPENSATION &
Benefits:
The starting base pay range for this position is $21.
00 - 23.
00 per hour.
Base pay will vary based on job-related knowledge, skills, experience and may also fluctuate depending on candidate's location and the overall job market.
In addition to base pay, Tandem offers a competitive compensation package that includes bonus, equity, and a robust benefits package.
Tandem offers health care benefits such as medical, dental, vision, health savings accounts and flexible saving accounts.
You'll also receive 10 paid holidays per year, a minimum of 20 days of paid time off (starting in year 1) and have access to a 401k plan with company match.
Learn more about Tandem's benefits here! YOU SHOULD KNOW:
Potential new employees must successfully complete a drug screen (excludes marijuana) and background check which includes criminal search, education certification and employment verification prior to hire.
REFERRALS:
We love a good referral! If you know someone that would be a great fit for this position, please share! If you are applying for this job and live in California, please read Tandem's CCPA Notice:
https:
//www.
tandemdiabetes.
com/careers/california-consumer-privacy-act-notice-for-job-applicants.
#LI-Remote #LI-BC1 SPONSORSHIP:
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.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
7 San Diego, CA San Diego, CA Full-time Full-time $21 - $23 an hour $21 - $23 an hour 10 hours ago 10 hours ago 10 hours ago 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.
We'd love for you to team up with us to innovate every day, put people first, and take a no-shortcuts 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 t:
slim X2 insulin pump with Control-IQ technology.
We're also so much more than that.
Our company's human-centered approach to design, development, and support delivers innovative products and services for people who use insulin.
Since 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 tandemdiabetes.
com.
A 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 non-contracted 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.
This position will be fully remote within the United States, and must be willing to start between 6:
30-7:
30 am PT or equivalent time zone schedule.
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.
Additional duties as assigned by the management team.
YOU'RE AWESOME AT:
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 heath care 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 clear-cut 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).
Minimum certifications/educational level:
BA/BS or equivalent combination of education and applicable job experience.
Minimum
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.
WHAT'S 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 forward-thinking 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 https:
//www.
tandemdiabetes.
com/careers.
BE YOU, WITH US! Tandem is firmly committed to being an equal opportunity employer and maintaining a diverse and inclusive environment.
We value and embrace that every single one of us brings value to the table.
But sometimes we forget that when we don't meet 100% of a job description's criteria - maybe you're feeling that way right now? We encourage you to apply anyway.
Because we want you to be you, with us.
COMPENSATION &
Benefits:
The starting base pay range for this position is $21.
00 - 23.
00 per hour.
Base pay will vary based on job-related knowledge, skills, experience and may also fluctuate depending on candidate's location and the overall job market.
In addition to base pay, Tandem offers a competitive compensation package that includes bonus, equity, and a robust benefits package.
Tandem offers health care benefits such as medical, dental, vision, health savings accounts and flexible saving accounts.
You'll also receive 10 paid holidays per year, a minimum of 20 days of paid time off (starting in year 1) and have access to a 401k plan with company match.
Learn more about Tandem's benefits here! YOU SHOULD KNOW:
Potential new employees must successfully complete a drug screen (excludes marijuana) and background check which includes criminal search, education certification and employment verification prior to hire.
REFERRALS:
We love a good referral! If you know someone that would be a great fit for this position, please share! If you are applying for this job and live in California, please read Tandem's CCPA Notice:
https:
//www.
tandemdiabetes.
com/careers/california-consumer-privacy-act-notice-for-job-applicants.
#LI-Remote #LI-BC1 SPONSORSHIP:
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.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
