Reimbursement Specialist II - Prior Authorization - Remote

Overview

The Reimbursement Specialist II – Prior Authorization at Guardant Health is a seasoned expert responsible for managing the full prior authorization lifecycle and ensuring patients receive timely access to care while maximizing reimbursement outcomes.

In Short

• Manage the full prior authorization lifecycle.
• Review, submit, track, and resolve Prior Authorization inquiries.
• Resolve escalated rejected authorizations issues.
• Prepare and submit necessary medical records and documentation.
• Maintain comprehensive documentation of payer requirements.
• Communicate effectively with cross-functional teams.
• Participate in corporate events and development opportunities.
• Ensure compliance with HIPAA guidelines.
• Work in a team-oriented environment.
• Support process improvement initiatives.

Requirements

• 3+ years of healthcare reimbursement experience.
• Expert-level knowledge of payer authorization policies.
• Success in managing complex claims and appeals.
• Proficiency with revenue cycle tools and systems.
• Exceptional attention to detail and organizational abilities.
• Experience with laboratory billing workflows is desirable.
• Strong computer skills, especially in Microsoft Office Suite.
• Analytical mindset with data analysis experience.
• Ability to handle confidential information discreetly.
• Excellent communication and interpersonal skills.

Benefits

• Flexible hybrid work model.
• Opportunities for professional development.
• Collaborative workplace culture.
• Competitive salary and benefits package.
• Supportive work environment for all employees.