GROW WITH US:  

Tandem Diabetes Care creates new possibilities for people living with diabetes, their loved ones, and their healthcare providers through a positively different experience. We’d love for you to team up with us to “innovate every day,” put “people first,” and take the “no-shortcuts” approach that has propelled us to become a leader in the diabetes technology industry.

STAY AWESOME:

Tandem Diabetes Care is proud to manufacture and sell the Tandem Mobi system and t:slim X2 insulin pump with Control -IQ technology — an advanced predictive algorithm that automates insulin delivery.

But we’re so much more than that. Our company’s human-centered approach to design, development, and support delivers innovative products and services for people who use insulin. Because many of our own team members live with type 1 diabetes, or have a loved one impacted by diabetes, the work is personal, and we are committed to the cause. Learn more at https://www.tandemdiabetes.com/

A DAY IN THE LIFE:

The Sr. Reimbursement Quality Analyst works as an integral part of the Revenue Cycle team. This role performs quality assurance reviews of the Revenue Cycle workflows and develops standard reporting to ensure quality, accuracy, timeliness and quality standards are measured and achieved. Serves as subject matter expert regarding revenue cycle reporting, systems and workflows used in the business unit needed to ensure appropriate use and maximum efficiency. In addition, perform process, operational and system workflow monitoring/reviews to ensure that efficient, cost-effective work processes are being executed. This position collaborates with other departments to ensure the development of quality metrics and quality review process.

Sr. Reimbursement Quality Analyst II’s at Tandem are also responsible for:

Develops QA audit tools to complete QA analysis of all critical claims processing, follow up and denial elements. Develops and maintains processes to review and respond to all quality audit inquiries which include disputed findings and implement quality assurance initiatives. Compiles productivity data for employees subject to QA review process and prepares regularly scheduled management reports. Identifies opportunities for improvement and establish recommendations for the management team. Validates productivity measurements and provides continuous monitoring of the efficacy of the production standards. Conducts regularly scheduled reviews of accounts worked, and all related activities associated with resolution of claims. Audits the accuracy of billing information entered in the system and monitor the operation of the billing systems. Develops a strong understanding of the accounting system and resolve discrepancies relating to Reimbursement. Performs regular review of transactional activity, reconciliations and resolution of outstanding items. Keeps up to date on all Tandem products and services. Confirms completion of required training plan before assuming job responsibilities. Ensures work is performed in compliance with company policies including Privacy/HIPAA, Sarbanes-Oxley and other regulatory, legal, and safety requirements. Ensures compliance with company policies, including Privacy/HIPAA, and other legal and regulatory requirements. Other responsibilities as assigned.

 WHAT YOU’LL NEED:

Knowledge, skills & abilities:

Strong understanding of medical billing, insurance claim processing, appeals, and follow up procedures. Demonstrated ability to effectively communicate over the phone with customers and insurance companies to resolve clear-cut issues and answer questions according to department protocols and requirements. Thorough understanding of managed care contracts. Ability to interpret Explanation of Benefits provided by heath care providers. Ability to investigate overpayments and resolve efficiently. Knowledge of claims clearing houses and the basic functionality of these services. Strong analytical, quantitative, problem solving and technical skills to resolve accounts receivable inventory. Skilled at presenting information in a clear, concise manner to all levels within the department. Skilled at contributing on a consistent basis to team initiatives in a thorough and timely manner. Able to react to changing situations in a timely, calm, and confident manner. Experience with MS Office suite (Word, Excel, and Outlook), Internet, customer relationship management systems (CRM) and accounting software (GP).

Minimum certifications/educational level:

Bachelor’s degree (B.A/B.S.) in related field or combination of equivalent education and applicable work experience.

Minimum experience:

5 - 6 years’ experience in medical collections environment or equivalent experience. Prior experience of billing durable medical equipment, preferred. Prior experience in diabetes or other disease management device/diagnostics, preferred.

 

WHY YOU’LL LOVE WORKING HERE:

At Tandem, we believe joy fuels excellence. That's why we've built a workplace that celebrates your achievements and supports your well-being. Our team thrives on pushing boundaries and fostering growth, all while maintaining a spirit of fun and camaraderie.  This is just one of the ways we stay awesome! Explore the benefits and reasons to love Tandem at https://www.tandemdiabetes.com/careers.

BE YOU, WITH US!

We are firmly committed to being an equal opportunity employer and maintaining a diverse and inclusive environment. We value and embrace that every single one of us brings value to the table. But sometimes we forget that when we don’t meet 100% of a job description’s criteria – maybe you’re feeling that way right now? We encourage you to apply anyway. Because we want you to be you, with us.

COMPENSATION & BENEFITS:

The starting base pay range for this position is $100,000.00 - $130,000.00 annually. Base pay will vary based on job-related knowledge, skills, experience and may also fluctuate depending on candidate’s location and the overall job market. In addition to base pay, Tandem offers a competitive compensation package that includes bonus, equity, and a robust benefits package.

All FT Employees Sr. Manager and Below: Tandem offers health care benefits such as medical, dental, vision available your first day, as well as health savings accounts and flexible saving accounts.  You’ll also receive 11 paid holidays per year, a minimum of 20 days of paid time off (with accrual starting on day 1) and you will have access to a 401k plan with company match as well as an Employee Stock Purchase plan.  Learn more about Tandem’s benefits here!

YOU SHOULD KNOW: 

Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable state and local Fair Chance laws and regulations. A conditional offer of employment from Tandem is contingent upon successful completion of a pre-employment screening process comprised of a drug test (excluding marijuana) and background check, which includes a review of criminal history information.

Tandem has good cause to conduct a review of criminal history information of candidates for this position, as this role may involve access to proprietary, sensitive and/or confidential information, including customer protected health information. This review is required to ensure that individuals in such roles uphold high standards of trust and integrity so as to protect the interests of our customers, employees, and stakeholders.

REFERRALS:

We love a good referral! If you know someone who would be a great fit for this position, please share!

SPONSORSHIP:

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

APPLICATION DEADLINE:

The position will be posted until a final candidate is selected for the requisition or the requisition has a sufficient number of applications.

Make a move that matters. Join Tandem Diabetes Care, where we're turning challenges into triumphs every day and where your talents will help shape a healthier, happier tomorrow.

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