Reimbursement Triage Specialist (9:00 AM - 6:00 PM PST, Monday - Friday Shift)
Guardant Health
Company Description
Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum. Guardant Health has commercially launched Guardant360®, Guardant360 CDx, Guardant360 TissueNext™, Guardant360 Response™, and GuardantOMNI® tests for advanced stage cancer patients, and Guardant Reveal™ for early-stage cancer patients. The Guardant Health screening portfolio, including the Shield™ test, aims to address the needs of individuals eligible for cancer screening.
Job Description
Location: This position requires one to be onsite in the Palo Alto office
Shift: 9:00 AM - 6:00 PM PST, Monday - Friday Shift
As a Reimbursement Triage Specialist, you play an important role in the overall success of the company. Working with our billing tool provider, you will drive payment for our services, and by partnering with colleagues in Finance and Client Services. You will facilitate optimized billing processes and operations that are aligned with Guardant Health’s mission and values.
You are responsible for documenting appropriate payer communication and/or correspondence for insurance claim research and/or appeals. Strong communication and troubleshooting skills are required.
Essential Duties and Responsibilities:
- Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
- Correctly interpret EOB’s for follow-up and/or appeals
- Oversee all incoming and outgoing mail via USPS, FedEx, and other shipping carriers, ensuring timely and accurate processing
- Support the management of incoming faxes, ensuring they are directed to the correct patient account and department where applicable
- Manage incoming department emails and triage voicemails, delegating them to the correct department or individual as needed
- Work with insurance portals to import and export documents for claims and appeals, ensuring accuracy and compliance with procedures
- Follow appropriate HIPAA guidelines provide medical records to primary care provider, insurance carriers, referred providers and patients per patient request
- Work well individually and in a team environment accomplishing set goals
- Performs other related duties as assigned to support the overall efficiency of the department
Qualifications
- A minimum of 1-year recent experience in both professional and facility billing, and collections with high volume and/or multiple accounts
- Experience with contacting and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations (preferred)
- Proficiency in managing emails, voicemails, and faxes in a fast-paced environment.
- Basic math skills to accurately interpret payment & adjustment transactions (must be able to read & understand an EOB)
- Must be proficient using a computer, data entry, and have above average typing skills
- Intermediate to advanced MS Office including Excel
- Familiarity with laboratory billing, Xifin, Telcor, EDI enrollment, merchant solutions, payer portals and national as well as regional payers throughout the country are a plus
- High school diploma or equivalent
Work Environment
Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.
Additional Information
Hybrid Work Model: At Guardant Health, we have defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.
For positions based in Palo Alto, CA or Redwood City, CA, the hourly range for this full-time position is $21.15 to $28.56. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity.
Within the range, individual pay is determined by work location and additional factors, including, but not limited to, job-related skills, experience, and relevant education or training. If you are selected to move forward, the recruiting team will provide details specific to the factors above.
Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.
Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to [email protected]
Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
All your information will be kept confidential according to EEO guidelines.
To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our Privacy Notice for Job Applicants.
Please visit our career page at: http://www.guardanthealth.com/jobs/