Director, Revenue Cycle Management

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.comA DAY IN THE LIFE:The Director, Revenue Cycle Management (RCM) is an integral part of the financial operations’ infrastructure, creating and implementing policies and best practices for the billing and reimbursement function and ensuring that billing and collection activities are timely and accurate. The role is responsible for all aspects of revenue cycle functions, including A/R review, billing, collections, payment posting and patient financial services. With a thorough knowledge of reimbursement billing, claim resolution, and collection techniques, partners with other departments to drive strategy and minimize potential losses.The RCM at Tandem is also responsible for:Strategically sets goals and objectives for reimbursement team including headcount, budgeting, process, and system requirements.Influence all revenue cycle processes, including developing, revising, and enforcing policies, goals, and best practices to effectively manage the company receivables.Develop, redesign, and monitor key performance indicators including customer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other parameters.Closely liaising with the revenue accounting team & financial reporting team to ensure proper revenue recognition.Engage in cross-functional and interdepartmental teams involving process improvement initiatives and projects for the organization.Strategize and partner with Customer Support team to minimize potential losses.Create and implement a patient financial service strategy.Serve as the subject-matter expert (SME) on regulatory, compliance, and legal requirements associated with medical billing. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies, governmental and third-party payers.Evaluate billing system, lead new system selection, and drive implementation effort, as needed. Continually looks for opportunities to automate routine reimbursement tasks through technology.Deliver comprehensive reporting to senior management that communicates relevant trends, KPIs, and analytical insight into performance.Collaborate extensively with finance, compliance/legal, sales operations, managed care, and leaders to ensure the execution of a fully integrated revenue cycle and that the organization is on track to accomplish established objectives.Ensure that departments, functions, and teams are operating in compliance with payer requirements and patient expectations, as well as the company's policies and procedures.Ensures department’s adherence to company policies, including Privacy/HIPAA, as well as other legal and Regulatory directives.WHAT YOU’LL NEED:B. S. in Business Administration, Accounting, Finance, or other relevant discipline or equivalent combination of education and applicable job experience. Master’s degree in relevant discipline, preferred.Certification in Medical Billing, preferred.10+ years of experience in finance and/or operations.5+ years in an RCM leadership role within a healthcare system.DME and pharmacy experience preferred.Experience in a high volume, medical device, biotech, or pharmaceutical environment, preferred.Successful track record of developing and implementing processes and procedures to ensure timely and effective billing and collection of medical reimbursement and patient receivables.A track record for successfully defining the appropriate structure, personnel, processes, and measurements to successfully meet the company’s billing and collection needs and making the requisite changes as the company’s needs change.Knowledge of US GAAP, particularly revenue recognition rules preferred.Strong understanding of healthcare billing, coding, and reimbursement principles, as well as industry regulations.Demonstrated knowledge of Federal and State regulations regarding medical reimbursement, documentation, and coding.Skilled at effectively communicating department or area issues and results within and across functional areas and conducting presentations of technical information concerning specific projects or timelines. Able to gain cooperation of others.WHEN & WHERE YOU’LL WORK:Hybrid: This role will be a mix of in-office work at our corporate headquarters in Del Mar, CA and remote work. This position is expected to be in office 2-3 days per week but may vary depending on business demands.COMPENSATION & BENEFITS:The starting base pay range for this position is $161,000 - $205,000 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 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, unlimited PTO 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.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 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.#LI-Hybrid #LI-DW1 #J-18808-Ljbffr