Senior Reimbursement Specialist - Prior Authorization - Remote

Overview

The Senior Reimbursement Specialist plays a crucial role in driving the financial success of Guardant Health, managing the full prior authorization lifecycle, and optimizing billing operations.

In Short

• Manage the prior authorization process independently.
• Collaborate with billing tool providers and internal teams.
• Resolve complex reimbursement issues and denials.
• Facilitate communication with physician offices.
• Maintain accurate documentation for payer communications.
• Develop training and quality control programs.
• Work with offshore teams on prior authorization cases.
• Ensure compliance with HIPAA guidelines.
• Perform data entry and maintain accurate records.
• Draft and submit written appeals successfully.

Requirements

• 5+ years of experience in coding, billing, and prior authorization.
• Experience with insurance carrier follow-ups and appeals.
• Proficient in MS Office, especially Excel.
• Familiarity with laboratory billing and payer portals.
• High school diploma or equivalent; bachelor’s degree preferred.

Benefits

• Flexible hybrid work model.
• Competitive salary range.
• Opportunities for professional development.
• Supportive work environment focused on innovation.