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Reimbursement Specialist

2 months ago


Brisbane, California, United States CareDx, Inc. Full time
About the Role

CareDx, 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 Responsibilities
  • Sort and distribute incoming mail, preparing outgoing mail as needed
  • Communicate with providers to verify patient and insurance demographic information
  • Process Financial Assistance requests and provide outcomes to patients
  • Answer phone calls and patient questions, connecting with the correct team for resolution
  • Interface with other departments, external providers, or clients to resolve errors
  • Provide support in all areas of the Department, coordinating activities with team members to ensure timely distribution of work
  • Participate in administrative staff meetings and attend other meetings and trainings
  • Assist in the evaluation of reports, decisions, and results of the department in relation to established goals
  • Recommend innovative approaches, policies, and procedures to effect continual improvements in the efficiency of the department and services performed
Requirements
  • High School Diploma or equivalent required
  • Working knowledge of denials, adjustments, and Third-Party Operations and/or Analysis
  • Strong analytical skills and ability to manipulate data in Microsoft Excel
  • Ability to work independently with minimal supervision
  • Must be able to analyze, summarize, and provide detail of findings when needed
  • Ability to problem-solve an issue to determine the root cause
About CareDx, Inc.

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. We offer a competitive Total Rewards package, including a base salary, incentive compensation, health and welfare benefits, 401(k) savings plan match, and more.

We believe in taking great care of our people, so they take even greater care of our patients. 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.

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