Quality Review Specialist

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 diabetes, or have a loved one impacted by diabetes, the work is personal, and we are committed to the cause. Learn more at tandemdiabetes.com

A DAY IN THE LIFE:

Partners with Sales to review order and documentation accuracy in support of product shipment. Follows established guidelines and collaborates with internal teams to ensure compliance with requirements. Operates in a fast-paced, high-volume environment that requires adaptability to shifting priorities and strong attention to detail.

WHEN & WHERE YOU'LL WORK:

This position is fully remote and open to candidates within the United States. Equipment for the role will be provided and training will occur virtually.

Quality Review Specialists at Tandem are responsible for:

• Reviews patient-related documentation for accuracy, completeness, and compliance with payer, medical, and regulatory requirements; takes corrective action as needed.

• Submits healthcare claims to insurance payers and fields patient inquiries related to insurance claims.

• Responds to customer inquiries and collaborates with team leaders, supervisors, and managers to resolve open issues.

• Communicates information clearly and professionally, both verbally and in writing, while maintaining a positive attitude.

• Maintains knowledge of Tandem products, services, and industry requirements, completing required training prior to assuming responsibilities.

• Ensures all work complies with company policies, HIPAA, privacy standards, and applicable regulations.

• Adapts to a fast-paced, high-volume environment while balancing accuracy, compliance, and customer service.

WHAT YOU'LL NEED:

• BA/BS degree or equivalent combination of education and job experience.

• Minimum 2 years of medical billing experience; durable medical equipment and diabetes/disease management device billing preferred.

• Experience in a HIPAA-controlled environment.

• Strong knowledge of medical billing processes, including insurance claim submission, follow-up, CMS-1500 requirements, and CMS billing codes/modifiers.

• Familiarity with claims clearinghouses and their functions.

• Demonstrated ability to manage time, handle multiple priorities, and perform accurately under pressure and changing deadlines.

• Strong analytical and critical thinking skills for solving complex problems.

• Effective verbal and written communication; able to collaborate, share information, and support team integration of new members.

• Proficient in MS Office suite (Word, Excel, Outlook).

COMPENSATION & BENEFITS:

The starting base pay range for this position is $23.00 - $25.00 per hour. 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 and a robust benefits package.

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.

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.

#LI-Remote #LI-KB1

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 embrace the value that every single one of us brings 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.

Tandem is firmly committed to being an equal opportunity employer and does not discriminate on the basis of age, disability, sex, race, religion or belief, gender identity or expression, marriage/civil partnership, pregnancy/maternity, or sexual orientation. We are an inclusive organization, and we welcome applications from a wide range of candidates. Selection for roles will be based on individual merit alone.

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

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.