Reimbursement Specialist

Tandem Diabetes Care

Reimbursement Specialist for Tandem Diabetes Care, processing insurance claims and coordinating with patients and insurance providers. Ensuring compliance and accuracy in billing processes.

Posted 6/30/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $25 per hourWebsite

About the role

Key responsibilities & impact

Assure all insurance claims are processed timely, accurately, and efficiently
Secure payments from both contracted and non-contracted insurance entities as well as customers
Work closely with Customer Sales Support to assure data accuracy and communication of requirements from health insurance plans
Review medical criteria to assure patient documentation meets standards
Carefully review all patient related data and documentation for accuracy prior to claim submission
Create and submit healthcare claims to insurance companies
Communicate with patients to advise on status of insurance claims, as necessary
Contact patients regarding collection of outstanding invoices
Field inbound calls from patients regarding inquiries related to insurance claims
Make outbound investigational calls to insurance providers to determine status of outstanding claims
Negotiate structured payment plans
Access CRM to receive and provide up to date patient claim information
Keep up to date with specifications on all of Tandem products and services
Confirm completion of required training plan before assuming job responsibilities
Ensure work is performed in compliance with company policies including Privacy/HIPAA and other regulatory, legal, and safety requirements

Requirements

What you’ll need

BA/BS or equivalent combination of education and applicable job 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
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)

Benefits

Comp & perks

health care benefits such as medical, dental, vision available your first day
health savings accounts and flexible saving accounts
11 paid holidays per year
a minimum of 20 days of paid time off (with accrual starting on day 1)
access to a 401k plan with company match
Employee Stock Purchase plan

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medical BillingInsurance Claim ProcessingBilling CodesHCFA 1500 FormClaims Clearing HousesData AccuracyPayment NegotiationDisease ManagementDurable Medical Equipment BillingExplanation of Benefits

Soft Skills

Effective CommunicationTeam CollaborationAttention to DetailProblem SolvingMulti-tasking