Medicare Specialist

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 require