drjobs Reimbursement Triage Specialist

Reimbursement Triage Specialist

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1 Vacancy
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Job Location drjobs

Spring, TX - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

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 Healths mission and values. You are responsible for receiving distributing and documenting appropriate payer and/or patient communications and/or correspondence for insurance claim research and/or appeals. Essential Duties and Responsibilities:

Provide superior customer service by being attentive; ensures understanding of customer request; being proactive in identifying and addressing concerns or problems

Analyze all clinical and financial information from a variety of internal and external sources (mail email portals fax CD copying/scanning etc)

Process all incoming and outgoing requests electronically and manually

Follow appropriate HIPAA guidelines by validating requests and authorizations for release of medical information to/from primary care provider insurance carriers referred providers and patients per patient request

Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families

Work well individually and in a team environment accomplishing set goals; willingly accepts assignments and is available to take on additional tasks facilities or assist with backlogs

Review each document and determine if image/document should be uploaded as a new document replacing a document or deleted

Ability to accurately and efficiently utilize a computer for data input retrieval of data running reports and all other tasks associated with release of information services

Attends and participates in the required educational training sessions and staff meetings as scheduled and assigned.

Maintains equipment in excellent operating condition (inside and out) and troubleshoot equipment issues with assistance from the Help Desk department.

Performs other related duties as assigned


Qualifications :

A minimum of 1-year recent experience in both professional and facility release of information medical records or other related experience in a healthcare environment 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)

Must be proficient using computer software and technology data entry and have above average typing skills

Intermediate to advanced MS Office including Excel

Familiarity with laboratory billing Xifin Salesforce merchant solutions payer portals and national as well as regional payers throughout the country are a plus

Ability to work professionally effectively and efficiently in a team environment with customers management and co-workers

Must be willing to travel to multiple Guardant campus based on the needs of the company

High school diploma or equivalent

Work Environment:

Employees may be required to lift routine office supplies and use office equipment. The majority of the work is performed in a desk/office environment; however there may be exposure to high noise levels. Ability to sit for extended periods of time. Ability to lift up to 20lbs.

This is an onsite position -Monday Friday. 


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.

The US hourly range for this full-time position is $20.53 to $28.24. The range does not include benefits and if applicable overtime bonus commission or equity. The range displayed reflects the minimum and maximum target for new hire salaries across all US locations for the posted role with the exception of any locations specifically referenced below (if any).

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 

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:  Work :

No


Employment Type :

Full-time

Employment Type

Full-time

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