Accounts Receivable Analyst II

A Day In The Life

The primary responsibility of this position is to apply knowledge of the insurance reimbursement cycle to ensure a successful reimbursement program. Accounts Receivable Analyst II's are also responsible for researching and resolving issues that arise in the collection process, beyond standard denials and requests. They display a thorough understanding of insurance/managed care organizations, specifically in areas such as credit balances, unapplied cash, and refunds. Audits the accuracy of billing information entered in the system and monitors the operation of the billing systems. Develops a strong understanding of the accounting system and resolves discrepancies relating to Reimbursement. Performs regular review of transactional activity, reconciliations, and resolution of outstanding items. Assists with the development and implementation of policies and processes. Assists in training team members in the reconciliation process. Keeps up to date on all 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, Sarbanes-Oxley and other regulatory, legal, and safety requirements. Ensures compliance with company policies, including Privacy/HIPAA, and other legal and regulatory requirements. Other responsibilities as assigned.

What You'll Need

• Understanding of medical billing, insurance claim processing, appeals, and follow up procedures.
• 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.
• Ability to interpret Explanation of Benefits provided by health care providers.
• Ability to investigate overpayments and resolve efficiently.
• Knowledge of claims clearing houses and the basic functionality of these services.
• Strong analytical, quantitative, problem solving and technical skills to resolve accounts receivable inventory.
• Skilled at presenting information in a clear, concise manner to all levels within the department.
• Skilled at contributing on a consistent basis to team initiatives in a thorough and timely manner.
• Able to react to changing situations in a timely, calm, and confident manner.
• Experience with MS Office suite (Word, Excel, and Outlook), Internet, customer relationship management systems (CRM) and accounting software (GP).

Knowledge, Skills & Abilities

• Understanding of medical billing, insurance claim processing, appeals, and follow up procedures.
• 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.
• Ability to interpret Explanation of Benefits provided by health care providers.
• Ability to investigate overpayments and resolve efficiently.
• Knowledge of claims clearing houses and the basic functionality of these services.
• Strong analytical, quantitative, problem solving and technical skills to resolve accounts receivable inventory.
• Skilled at presenting information in a clear, concise manner to all levels within the department.
• Skilled at contributing on a consistent basis to team initiatives in a thorough and timely manner.
• Able to react to changing situations in a timely, calm, and confident manner.

Minimum Certifications/Educational Level

• Bachelor's Degree or equivalent combination of education and applicable job experience.

Minimum Experience

• 5 years’ experience in medical collections environment or equivalent experience.
• Prior experience billing durable medical equipment is preferred.
• Knowledge of generally accepted accounting principles (GAAP) preferred.
• Prior experience in diabetes or other disease management device/diagnostics is preferred.

Compensation & Benefits

• Base pay range for this position is $65,000 - $74,000.
• 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 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.
• You’ll 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.

Why You’ll Love Working Here

• We believe joy fuels excellence.
• We embrace the value that every single one of us brings to the table.
• We are an equal opportunity employer and do 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.