Reimbursement Specialist (Medtech)

TL;DR

Reimbursement Specialist (Medtech): Managing the end-to-end insurance claims process for diabetes technology products with an accent on accuracy, compliance, and patient communication. Focus on navigating complex insurance requirements, resolving billing discrepancies, and ensuring timely payments in a HIPAA-regulated environment.

Location: Must be based in the United States. Remote role with a shift start time of 5:00 AM PST.

Salary: $23.00 - $25.00 per hour.

Company

A leader in the diabetes technology industry dedicated to improving the lives of people with diabetes through innovative insulin delivery systems and human-centered design.

What you will do

• Review medical criteria and patient documentation to ensure standards are met prior to claim submission.
• Create and submit healthcare claims to insurance companies accurately and efficiently.
• Communicate with patients regarding insurance claim status and collect outstanding invoices.
• Field inbound calls and make outbound investigational calls to insurance providers.
• Negotiate structured payment plans with customers.
• Maintain compliance with company policies, HIPAA regulations, and safety requirements.

Requirements

• Must be authorized to work for any employer in the U.S. (no visa sponsorship).
• Must be based in the United States.
• 2+ years of experience in medical billing or equivalent.
• Proven experience working in a HIPAA-controlled environment.
• Proficiency with MS Office suite and CRM systems.
• Strong verbal and written communication skills for interacting with customers and insurance providers.

Nice to have

• Experience billing durable medical equipment.
• Experience in diabetes or other disease management device/diagnostics.
• Knowledge of CMS billing codes and modifiers.

Culture & Benefits

• Comprehensive health care benefits (medical, dental, vision) starting on day one.
• 401k plan with company match and Employee Stock Purchase plan.
• Minimum of 20 days of paid time off and 11 paid holidays per year.
• Health savings accounts (HSA) and flexible spending accounts (FSA).
• Supportive, inclusive work environment focused on growth and well-being.