Reimbursement Specialist I (Medtech)

TL;DR

Reimbursement Specialist I (Medtech): Managing the end-to-end insurance claims process for diabetes technology products with an accent on accuracy, compliance, and timely payment collection. Focus on navigating complex medical billing requirements, communicating with insurance providers, and ensuring adherence to HIPAA standards.

Location: Must be based in the United States. Shift: Mon - Fri, 6:30 am - 3:00 pm 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.

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 conduct outbound investigational calls to insurance providers.
• Negotiate structured payment plans and maintain patient records in the CRM.
• Ensure all work complies with company policies, HIPAA regulations, and safety requirements.

Requirements

• Must be authorized to work in the U.S. (no visa sponsorship available).
• 2+ years of experience in medical billing or equivalent.
• Proven experience working in a HIPAA-controlled environment.
• Understanding of HCFA 1500 billing forms, CMS billing codes, and modifiers.
• Ability to work a fixed schedule of Mon - Fri, 6:30 am - 3:00 pm PST.
• Proficiency with MS Office suite and CRM systems.

Nice to have

• Experience billing durable medical equipment.
• Experience in diabetes or other disease management device/diagnostics.

Culture & Benefits

• Comprehensive health care benefits (medical, dental, vision) starting on day one.
• 401k plan with company match and Employee Stock Purchase plan.
• 11 paid holidays per year and a minimum of 20 days of paid time off.
• Health savings accounts (HSA) and flexible spending accounts (FSA).
• Inclusive workplace culture that values diversity and individual merit.