Reimbursement Specialist I

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.

Please note; The shift for this role is; Mon - Friday, 630am - 3pm pst.

What You’ll Need

• BA/BS or equivalent combination of education and applicable job experience.
• 2+ years of 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 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).

When & Where You’ll Work

Remote; Shift; Mon - Fri, 630am - 3pm pst. This position is fully remote and open to candidates within the United States. Equipment for the role will be provided and training will occur virtually.

Compensation & Benefits

• The starting base pay range for this position is $23.00 - $25.00 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 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. 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.

Referral Program

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