Reimbursement Specialist I (Temp)

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 the “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 Tandem Mobi system and t:slim X2 insulin pump with Control  -IQ technology — an advanced predictive algorithm that automates insulin delivery.

But we’re 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. Because many of our own team members live with diabetes, or have a loved one impacted by diabetes, the work is personal, and we are committed to the cause. Learn more at https://www.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.

Reimbursement Specialist I’s at Tandem are also responsible for:

• 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.

 WHAT YOU’LL NEED:

Knowledge, skills & abilities:

• 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.

 PHYSICAL REQUIREMENTS:

While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, see, talk or hear in a standard office environment.  Employee may occasionally lift and/or move up to 45 pounds.

WHY YOU’LL LOVE WORKING HERE:

At Tandem, we believe joy fuels excellence. That's why we've built a workplace that celebrates your achievements and supports your well-being. 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 https://www.tandemdiabetes.com/careers.

BE YOU, WITH US!

We embrace the value that every single one of us brings 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. 

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. 

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.

This is a temporary position. As a temporary employee you will be employed through a staff agency partner. Benefits during your temporary assignment may be provided by the staffing agency. Access to Tandem sponsored benefits is contingent upon conversion from temporary to regular full-time status.  Conversion is determined based upon business need and job performance.

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 pre-employment screening process comprised of a drug test (excluding marijuana) and background check, which includes a review of criminal history information.

REFERRALS:

We love a good referral! If you know someone who would be a great fit for this position, please share!

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.

APPLICATION DEADLINE:

The position will be posted until a final candidate is selected for the requisition or the requisition has a sufficient number of applications.

Make a move that matters. Join Tandem Diabetes Care, where we're turning challenges into triumphs every day and where your talents will help shape a healthier, happier tomorrow.

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