Medicare Specialist

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.

Accountabilities & 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

Education & Experience Required:

Bachelor’s degree or equivalent work experience

2+ years of experience in medical device or health care reimbursement

Preferred:

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

Knowledge & Skills:

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

Competencies:

Organization

Teamwork

Action Oriented

Communication

Documentation

Process Management

Priority Setting

Peer Relationships

Problem Solving

Our total compensation package includes medical, dental and vision benefits, retirement benefits, employee stock purchase plan, paid time off, parental leave, family medical leave, volunteer time off and additional leave programs, life insurance, disability coverage, and other life and work wellness benefits and discounts. Benefits may be subject to generally applicable eligibility, waiting period, contributions, and other requirements and conditions.

Below is the starting salary or hourly range for this position, although offers may differ based on the candidate's location, job-specific knowledge, skills and experience.

US Pay Range $23.89 — $31.35 USD

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