Medicare Specialist

Tactile Medical•Minneapolis, MN

4d•$24 - $31

About The Position

At Tactile Medical, we specialize in developing at-home therapy devices to treat lymphedema, chronic venous insufficiency and respiratory illnesses. The Medicare Specialist is responsible for ensuring Medicare criteria is met for claim submissions.

Requirements

Bachelor’s degree or equivalent work experience
2+ years of experience in medical device or health care reimbursement
Understanding of Medicare methodologies (coding, coverage, clinical criteria, payment)
Proficiency working with Microsoft Word, Excel, Teams and Outlook with the ability to navigate multiple systems
Strong aptitude for learning systems and understanding processes quickly
Exhibit excellent grammar, verbal and written communication skills
Strong critical thinking skills
Proven track record of building effective relationships with stakeholders
Strong collaborative style, both internally and externally, to ensure objectives are met
Results driven and proactive
Thrives in a team environment but is also self sufficient
Strong ability to multi-task and prioritize
Passionate and eager to learn new skills
Ability to adapt to an ever-changing environment
Receptiveness to feedback
Consistent follow up skills
Organization
Teamwork
Action Oriented
Communication
Documentation
Process Management
Priority Setting
Peer Relationships
Problem Solving

Nice To Haves

Previous experience with third-party payer regulations and processes, with emphasis on Medicare

Responsibilities

Review medical records and checklist documentation for specific criteria to satisfy Medicare’s medical necessity requirements
Serve as an expeditor/liaison between Tactile Medical, clinicians, healthcare teams, and patients to obtain all necessary paperwork to drive order to closure
Collaborate with pertinent internal departments to ensure successful Medicare submissions
Maintain and/or exceed department service levels including turnaround time
Be a team player. Assist other team members when needed
Be a champion for continuous process improvement. Ask questions and continually look for ways to make processes better, faster or more efficient
Contribute to monthly 1:1, small and large group team meetings
Participate in training of new team members or field reps, handle product conversions and/or general account support
Maintain compliance with all regulatory requirements including HIPAA
Other duties as assigned