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Reimbursement Specialist II - Follow Up & Appeals - Remote

Posted Yesterday
All others
Full Time
CA, USA
$24.15 - $33.22/hour

Overview

As a Reimbursement Specialist II, you will play a crucial role in ensuring accurate and timely reimbursement for services at Guardant Health, collaborating with various teams to optimize billing processes.

In Short

  • Monitor and manage complex outstanding insurance claims.
  • Troubleshoot Explanation of Benefits (EOBs).
  • Prepare and submit appeals for non-covered services.
  • Maintain detailed documentation of payer communications.
  • Collaborate with internal teams and external payers.
  • 3+ years of experience in healthcare reimbursement.
  • Basic proficiency in Excel.
  • Strong communication skills.
  • Ability to work independently and manage multiple claims.
  • Familiarity with laboratory billing systems is a plus.

Requirements

  • 3+ years of experience in healthcare reimbursement.
  • Proficiency in Excel.
  • Organized self-starter with attention to detail.
  • Strong communication skills.
  • Experience with diverse payers.
  • Familiarity with laboratory billing systems.

Benefits

  • Flexibility with a hybrid work model.
  • Work-life balance opportunities.
  • Competitive salary range.
  • Commitment to diversity and inclusion.
  • Support 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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