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Reimbursement Specialist - Follow Up & Appeals - Remote

Posted Yesterday
All others
Full Time
CA, USA
$20.50 - $28.24/hour

Overview

The Reimbursement Specialist – Follow Up and Appeals plays a crucial role in ensuring the success of Guardant Health by managing billing processes, tracking claims, and facilitating communication with patients and insurance providers.

In Short

  • Full-Time position with options for remote or hybrid work.
  • Responsible for tracking, reporting, and addressing complex outstanding claims.
  • Facilitate optimized billing processes aligned with company values.
  • Provide reimbursement assistance to patients.
  • Resolve patient concerns or complaints effectively.
  • Verify and communicate insurance eligibility and payment responsibilities.
  • Manage documentation for payer communication and claims research.
  • Maintain compliance with HIPAA guidelines.
  • Work both independently and as part of a team.
  • Perform other related duties as assigned.

Requirements

  • Minimum 3 years of experience in coding, billing, and collections.
  • Experience with insurance carriers on denials and appeals.
  • Basic math skills for interpreting payment transactions.
  • Proficient with computers and data entry.
  • Intermediate to advanced skills in MS Office, especially Excel.
  • Familiarity with laboratory billing and payer portals is a plus.
  • High school diploma or equivalent required.

Benefits

  • Flexible work model for better work-life balance.
  • Competitive hourly wage.
  • Opportunities for professional growth.
  • Inclusive and supportive work environment.
  • Commitment to reasonable accommodations for candidates with disabilities.
Guardant Health logo

Guardant Health

Guardant Health is a pioneering precision oncology company dedicated to combating cancer on a global scale through its innovative proprietary tests, extensive data sets, and advanced analytics. The company’s oncology platform is designed to enhance commercial adoption, improve patient clinical outcomes, and reduce healthcare costs throughout the cancer care continuum. Guardant Health has successfully launched several tests, including Guardant360®, Guardant360 CDx, Guardant360 TissueNext™, Guardant360 Response™, and GuardantOMNI® for advanced stage cancer patients, as well as Guardant Reveal™ for early-stage cancer patients. Additionally, the Guardant Health screening portfolio, featuring the Shield™ test, addresses the needs of individuals eligible for cancer screening.

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