Reimbursement Specialist

At Tactile Medical, we specialize in developing at-home therapy devices to treat lymphedema, chronic venous insufficiency and respiratory illnesses.

The Reimbursement Specialist is responsible for collaborating with patients, clinicians, payers, and the internal and field team to retrieve and provide information and documentation necessary to facilitate order movement, authorization or continued authorization of Tactile Medical equipment. Perform all job responsibilities while maintaining compliance with all appropriate regulatory requirements including HIPAA.

Accountabilities & Responsibilities

Assist internal and field team, payers, and patients in understanding payer methodologies and resolution of issues in the order process through outreach and response to inquiries

Facilitate Change of Insurance (COI) reviews, outreach, and order movement

Obtain information and documentation necessary for authorization or continued authorization requests

Serve as a resource for internal team and patients to ensure we are gathering appropriate documentation for reauthorization requests

Submit authorization and reauthorization requests and effectively educate payers to secure and ensure appropriate payment

Submit for additional garment orders

Other duties as assigned

Education & Experience

Required:

Bachelor’s degree or equivalent work experience

3+ years of experience working within medical insurance or billing

2+ years of out and inbound patient interaction experience within the healthcare or medical device industry

Preferred:

Previous experience with prior authorizations

Experience with outpatient DME billing (rental products)

Knowledge & Skills

Strong knowledge of medical insurance benefits and authorization processes

Must be persuasive and credible with third party payers

Demonstrated organizational and time management skills

Proven ability to multi-task, prioritize, and meet required deadlines

High attention to detail and accuracy

Thrive in a fast-paced continuously changing environment by balancing multiple deadline driven priorities

Operate as a strong team player with a high degree of flexibility

Exhibit excellent grammar, verbal and written communication skills

Ability to learn quickly and use new technologies to enhance processes and efficiencies

Competencies

Influencing

Communication

Process Management

Priority Setting

Peer Relationships

Problem Solving

Drive for Results

Technical Learning

Time Management

Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts. Benefits may be subject to generally applicable eligibility, waiting period, contributions, and other requirements and conditions.

Below is the starting salary or hourly range for this position, although offers may differ based on the candidate's location, job-specific knowledge, skills and experience.

US Pay Range

$23.89 — $31.35 USD

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