Reimbursement Specialist II - Follow Up & Appeals - Remote

Overview

The Reimbursement Specialist II will ensure the financial success of Guardant Health by optimizing reimbursement processes and collaborating with various teams.

In Short

• Track and resolve complex outstanding claims.
• Troubleshoot EOBs and identify claim denials.
• Appeal non-covered or underpaid claims.
• Follow up on unpaid claims for timely resolution.
• Drive positive coverage determinations.
• Maintain accurate documentation of communications.
• Collaborate with billing tool provider and finance teams.
• Work in a hybrid model with defined onsite days.
• Full-time position with flexible work options.
• Support the company's mission in oncology.

Requirements

• 0-2 years of experience in healthcare reimbursement.
• Understanding of health plan regulations and billing processes.
• Experience with state and external appeals preferred.
• Strong attention to detail and organizational skills.
• Self-starter with minimal supervision.
• Tech-savvy and analytical skills.
• Excellent communication skills.
• Moderate proficiency in Excel.
• Familiarity with laboratory billing and payer portals is a plus.

Benefits

• Flexible work-life balance with hybrid model.
• Competitive pay rates.
• Opportunities for professional growth.
• Inclusive company culture.
• Commitment to providing reasonable accommodations.