Reimbursement Specialist I
Core
Process insurance claims, secure payments from contracted and non-contracted entities, and manage patient billing for diabetes technology products.
Role type
Reimbursement Specialist (Medical Billing)
Builds
Insurance claim submissions and payment collections for Tandem Mobi system and t:slim X2 insulin pump
Domain
Healthcare / Diabetes Technology / Medical Billing
Deliverable
client delivery
Required skills
Medical billing, insurance claim processing, HIPAA compliance, HCFA 1500 form knowledge, CMS billing codes, CRM usage, MS Office suite
Preferred skills
Durable medical equipment billing, diabetes device/diagnostics experience
Responsibilities
Review medical criteria and patient documentation for accuracy, create and submit healthcare claims, communicate with patients regarding claim status and collections, field inbound calls, make outbound calls to insurance providers, negotiate structured payment plans
Seniority
Individual Contributor, 2+ years experience