Current jobs related to Reimbursement Specialist - Brisbane - CareDx, Inc.

  • Reimbursement Specialist

    3 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job Title: Reimbursement SpecialistCareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers.Job Summary:The Reimbursement Specialist position plays a critical role in ensuring timely and...

  • Reimbursement Specialist

    2 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job SummaryCareDx, Inc. is seeking a highly skilled Reimbursement Specialist to join our team. The successful candidate will be responsible for managing and processing payments received from insurance companies, patients, or other healthcare providers for healthcare services provided to them.This role requires strong attention to detail and the ability to...

  • Reimbursement Specialist

    2 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    CareDx Reimbursement Specialist Job DescriptionCareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers.The Reimbursement Specialist position promotes efficient processing of eligibility,...

  • Reimbursement Specialist

    1 month ago

    Brisbane, California, United States CareDx, Inc. Full time

    Reimbursement Specialist Job DescriptionCareDx, Inc. is a leading precision medicine solutions company focused on delivering high-value healthcare solutions for transplant patients and caregivers. As a Reimbursement Specialist, you will play a critical role in ensuring timely and accurate payment for medical services and procedures.Key...

  • Reimbursement Specialist

    2 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job Title: Reimbursement SpecialistCareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers.The Reimbursement Specialist position plays a critical role in ensuring timely and accurate payment...

  • Reimbursement Specialist

    2 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job Title: Reimbursement SpecialistCareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers.We are seeking a highly skilled Reimbursement Specialist to join our team. The successful candidate...

  • Reimbursement Specialist

    3 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job Title: Reimbursement SpecialistCareDx, Inc. is a leading precision medicine solutions company focused on delivering innovative healthcare solutions for transplant patients and caregivers. As a Reimbursement Specialist, you will play a critical role in managing and processing payments received from insurance companies, patients, or other healthcare...

  • Reimbursement Specialist

    1 month ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job SummaryCareDx, Inc. is seeking a highly skilled Reimbursement Specialist to join our team. As a key member of our organization, you will play a critical role in ensuring timely and accurate payment for our patients.Key ResponsibilitiesProcess claims with the proper documentation to insurance providers in a timely mannerAnalyze denied or rejected claims...

  • Reimbursement Specialist

    4 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job SummaryCareDx, Inc. is seeking a highly skilled Reimbursement Specialist to join our team. As a key member of our organization, you will play a critical role in ensuring timely and accurate payment for our patients.Key ResponsibilitiesProcess and submit claims to insurance providers in a timely mannerAnalyze and interpret explanation of benefits and...

  • Reimbursement Specialist

    2 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job SummaryCareDx, Inc. is seeking a highly skilled Reimbursement Specialist to promote efficient processing of eligibility, authorization, and obtaining medical records and documentation. This role plays a critical role in ensuring timely and accurate payment is received, working with insurance companies, healthcare providers, and patients to obtain...

  • Reimbursement Specialist

    2 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job SummaryCareDx, Inc. is seeking a highly skilled Reimbursement Specialist to join our team. As a key member of our organization, you will play a critical role in ensuring timely and accurate payment for our patients.ResponsibilitiesVerify patient insurance coverage and benefits by contacting insurance companies or using electronic verification...

  • Reimbursement Specialist

    2 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    CareDx, Inc. Job DescriptionThe Reimbursement Specialist position plays a critical role in ensuring timely and accurate payment is received. This includes working with insurance companies, healthcare providers, and patients to obtain accurate identification numbers and eligibility information and claim status via the Internet and/or phone.The CareDx current...

  • Reimbursement Specialist

    1 week ago

    Brisbane, California, United States CareDx, Inc. Full time

    CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers.The Reimbursement Specialist will play a critical role in ensuring the efficient processing of claims and inquiries are resolved in a...

  • Reimbursement Specialist

    3 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    About the RoleCareDx, Inc. is seeking a highly skilled Reimbursement Specialist to join our team. As a key member of our Front-End Team, you will play a critical role in ensuring the efficient processing of claims and resolving inquiries from external providers, patients, and other departments.Key ResponsibilitiesSort and distribute incoming mail, preparing...

  • Reimbursement Coordinator

    2 weeks ago

    Brisbane, California, United States CareDx, Inc. Full time

    Job Title: Reimbursement SpecialistCareDx, Inc. is seeking a highly skilled Reimbursement Specialist to join our team in Brisbane, California. As a key member of our Front-End Team, you will play a critical role in ensuring the efficient processing of claims and resolving inquiries from external providers, patients, and other departments.Key...

  • Reimbursement Specialist

    3 weeks ago

    Brisbane, United States CareDx, Inc. Full time

    CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is...

  • Reimbursement Specialist

    3 weeks ago

    Brisbane, United States CareDx, Inc. Full time

    CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is...

  • Reimbursement Specialist

    3 weeks ago

    Brisbane, United States CareDx, Inc. Full time

    CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is...

  • Reimbursement Specialist

    4 months ago

    Brisbane, United States CareDx, Inc. Full time

    Headquartered in Brisbane, Calif., CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and...

  • Reimbursement Specialist

    3 weeks ago

    Brisbane, United States CareDx, Inc. Full time

    Headquartered in Brisbane, Calif., CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and...

Reimbursement Specialist

2 months ago

Brisbane, United States CareDx, Inc. Full time
Job DescriptionJob DescriptionCareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is the leading provider of genomics-based information for transplant patients.

The Reimbursement Specialist position promotes efficient processing of eligibility, authorization and obtaining medical records and documentation. Specialists play a critical role in ensuring timely and accurate payment is received. This includes working with insurance companies, healthcare providers, and patients to obtain accurate identification numbers and eligibility information and claim status via the Internet and/or phone.

Responsibilities:

  • Confirming patient insurance coverage and benefits by contacting insurance companies or using electronic verification tools. Reviewing insurance policies to determine what services are covered, including deductibles, co-payments, and coverage limits.
  • Accurately inputting patient and insurance information into billing systems and insurance billing tools (such as web-based portals)
  • Submitting authorizations requests to insurance companies or other payers for approval of medical services or procedures
  • Interacting with various internal teams, healthcare providers, insurance companies and patients to gather necessary information and facilitate the authorization process
  • Ensuring all authorizations adhere to government, regulatory and payer guidelines and standards. Adhere to HIPPA, PHI and confidentiality laws and guidelines.
  • Identifying and addressing issues related to denied or delayed authorizations and finding alternative solutions when necessary. Develop strategies to mitigate these problems.
  • Keeping detailed records of eligibility verification and communications with insurance companies. Gathering and providing necessary documentation, such as medical records or treatment plans, to support authorization requests or claims submissions
  • Monitoring the status of authorization requests and follow up with insurance companies to ensure timely processing and approval
  • Explain laboratory insurance benefits, coverage, policy requirements, and filing rules to patients. At times, informing patients about their coverage, out-of-pocket costs, and any potential financial responsibilities.
  • Participates in staff and company meetings and events
  • Recommends innovative approaches, suggestions in policies, and procedures to effect continual improvements in the efficiency of department

Qualifications:

  • Requires a High School Diploma or equivalent.
  • Proficiency in medical terminology, healthcare billing codes (CPT, HCPCS, ICD) and payer policies.
  • Proficiency with healthcare management software (such as Telcor, XiFin, and QuadX), claims processing systems, Electronic Health Records (EHR), Electronic Medical Records (EMR) and insurance websites
  • Understanding of regulatory compliance and insurance reimbursement processes is essential
  • Previous experience in healthcare billing, coding, claims processing, particularly in diagnostic laboratory services, is highly valued
  • Excellent organizational and communication skills to effectively manage the authorization process
  • Must have the ability to work independently with minimal supervision
  • Capability to identify issues and develop effective solutions
  • Must be able to maintain a professional and confidential working environment
  • Must be able to analyze, summarize and provide details of findings when needed
  • Strong written and verbal communication skills

Additional Details:

Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.

Our competitive Total Rewards package includes:

  • Competitive base salary and incentive compensation
  • Health and welfare benefits including a gym reimbursement program
  • 401(k) savings plan match
  • Employee Stock Purchase Plan
  • Pre-tax commuter benefits
  • And more

In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow.

With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it is an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together.

CareDx, Inc. is an Equal Opportunity Employer and participates in the E-Verify program.

By proceeding with our application and submitting your information, you acknowledge that you have read our U.S. Personnel Privacy Notice and consent to receive email communication from CareDx.

******** We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.

#LI-Onsite #LI-Hybrid