Reimbursement Triage Specialist
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Job Location:
Palo Alto, CA - USA
Monthly Salary:
$ 21 - 29
Posted on:
17 hours ago
Vacancies:
1 Vacancy
Job Summary
Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012 Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care including screening to find cancer early monitoring for recurrence in early-stage cancer and treatment selection for patients with advanced cancer. For more information visitand follow the company onLinkedInX (Twitter)andFacebook.
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 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 EOBs 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.
Hybrid Work Model: This section is applicable to onsite employees who are eligible for hybrid work location as specified by management and related policies. Guardant has 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.
Employee may be required to lift routine office supplies and use office 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 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
A background screening including criminal history is required for this role. GH will consider qualified applicants with criminal arrest or conviction histories in a manner consistent with applicable law including but not limited to the LA County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).
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 ourPrivacy Notice for Job Applicants.
Please visit our career page at: Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
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 cl ... View more
