Guardant Health is a precision oncology company focused on improving patient care through advanced blood and tissue tests, real-world data, and AI analytics.
As a Reimbursement Specialist II, you will support billing operations and drive payment for services by partnering with Finance and Client Services. This role is responsible for tracking and resolving complex outstanding claims, troubleshooting EOBs, managing appeals for non-covered and low-pay claims, and maintaining documentation for payer communications and claim research.
Requirements & Qualifications
Essential Duties
- Accurately enter data into computer systems and maintain account notes
- Assist patients with reimbursement issues while providing excellent customer service
- Resolve most patient concerns without escalation
- Verify and communicate insurance eligibility, billing, collections, and payment responsibilities
- Prepare successful written appeals
- Interpret EOBs for follow-up and appeals
- Follow HIPAA guidelines when providing medical records to providers, insurers, referred providers, and patients
- Work independently and collaboratively to meet goals
Qualifications
- 3 to 5 years of recent experience in professional and facility coding, billing, and collections
- Experience contacting insurance carriers regarding denials, reconsiderations, formal appeals, and negotiations
- Experience with a broad range of payers, including state-level agencies and external review organizations
- Experience working with Medicare and Medicaid
- Strong basic math skills and ability to read and understand EOBs
- Proficiency with computers, data entry, and above-average typing skills
- Intermediate to advanced Microsoft Office skills, including Excel
- Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, and payer portals is a plus
- High school diploma or equivalent
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago