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Appeals Specialist

Tobii Dynavox, part of the Tobii group, is the world leader in eye tracking and speech generating devices - products that help individuals with speech and motor impairments live a richer and more independent life. Headquartered in Stockholm Tobii covers a global market with offices in USA, Germany, Norway, Japan and China. If you want to work with meaningful products and solve interesting problems, we might be the right company for you!
Take a look at this video that shows how we impact lives and give people with disabilities the power and ability to express who they are:

https://www.youtube.com/watch?v=2zh2UMK8xf0

JOB SUMMARY:

The Appeals Specialist will effectively analyze, resolve and track payer denials. This position provides support to both the Prior Authorization and Billing teams in addition to the HCP & Contracting Manager. The Coordinator will assist in identifying areas for continued process improvements that will further decrease new denials and write offs. This position may be field based.

KEY RESPONSIBILITIES/COMPETENCIES:

  • Provide expert knowledge of Medicare and other third party payer criteria
  • Understand Tobii Dynavox order management processes and policies
  • Analyze and research cases, applying critical thinking, independent judgment, and business sense to resolve and prevent denials.
  • Prepare written responses to payer denials
  • Represent Tobii Dynavox through second level appeals and Administrative Law Judge (ALJ) hearings
  • Track and communicate payer trends and reimbursement changes
  • Display an outward commitment to departmental revenue goals
  • Other duties as assigned

QUALIFICATIONS:

EDUCATION / EXPERIENCE REQUIREMENTS

  • Bachelor’s Degree or 3-5 years equivalent experience
  • 3 years third party payer experience
  • Knowledge of DME Billing and Prior Authorizations

COMMUNICATION SKILLS:

  • Ability to work cooperatively as a member of a team
  • Demonstrated ability to communicate with clinical and reimbursement specialists
  • Ability to communicate at all levels within an organization

COMPUTER SKILLS:

  • ERP/CRM experience preferred
  • MS Office, including MS Word and Excel

OTHER SKILLS/REQUIREMENTS:

  • Excellent organizational abilities
  • Detail oriented
  • Minimal travel may be required

Working at Tobii Dynavox:

Working at Tobii is like being in the heart of innovation. Here you get to work on cool creative projects, together with passionate colleagues from all around the world.


Our technology brings a voice to people with speech impairments, it helps us understand human behavior and it is revolutionizing the way we interact with technology.


Life is short so we choose to spend it building high tech products that matters!


If you want to build a company rather than just work for one. If you take pride in honest, hard work and want to perform freely in an open environment where you can be yourself, you will feel right at home.


Tobii
- It’s all about passion, innovation and making things real –

EOE/AA Women/Minorities/Veterans/Disabled

Working at Tobii

At Tobii we love what we do - we work hard, play hard, and make every day exciting.

Learn more about what we do by viewing this short video Tobii in 3 minutes.