Medicare Claims & Reimbursement Specialist

Tactilemedical; Minneapolis (MN); On-site; USD 33,000 - 43,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Job summary

Tactile Medical specializes in at-home therapy devices for lymphedema, chronic venous insufficiency, and respiratory illnesses. The Medicare Specialist ensures Medicare criteria are met for claim submissions and drives documentation to closure.

Responsibilities include coordinating with clinicians, patients, and internal teams, maintaining service levels, and contributing to process improvements while upholding HIPAA standards.

Qualifications

• Bachelor’s degree or equivalent work experience.
• 2+ years of experience in medical device or health care reimbursement.

Responsibilities

• Review medical records and documentation for Medicare medical necessity.
• Serve as liaison between the company, clinicians, healthcare teams, and patients to obtain necessary paperwork.
• Collaborate with internal departments to ensure successful Medicare submissions.
• Maintain and/or exceed department service levels including turnaround time.
• Assist team members and participate in training of new staff.
• Maintain compliance with regulatory requirements including HIPAA.

Skills

Medicare methodologies

Regulatory/compliance

Communication skills

Multi-tasking

Relationship building

Team collaboration

Problem solving

Education

Bachelor’s degree or equivalent

Tools

Microsoft Word

Excel

Teams

Outlook

Job description

Tactile Medical specializes in at-home therapy devices for lymphedema, chronic venous insufficiency, and respiratory illnesses. The Medicare Specialist ensures Medicare criteria are met for claim submissions and drives documentation to closure.

Responsibilities include coordinating with clinicians, patients, and internal teams, maintaining service levels, and contributing to process improvements while upholding HIPAA standards.