Reimbursement Specialist
5 days ago
Guardant Health is a leading precision oncology company that focuses on helping conquer cancer globally. Our mission is to drive commercial adoption, improve patient clinical outcomes, and lower healthcare costs across all stages of the cancer care continuum.
Job SummaryWe are seeking a highly skilled Reimbursement Specialist to join our team. This individual will play a crucial role in driving payment for our services, working closely with physicians and hospital staff to obtain release of complete, accurate, and compliant documentation for reimbursement. The ideal candidate will have experience in professional and facility release of information, medical records, or other related experience in a healthcare environment.
Key Responsibilities- Provide superior customer service by being attentive, ensuring understanding of customer requests, and proactively identifying and addressing concerns or problems.
- Obtain appropriate clinical documentation through extensive interaction with physicians, nursing staff, medical staff, and ancillary staff.
- Analyze all clinical and financial information from various internal and external sources.
- Process all incoming and outgoing requests electronically and manually.
- Perform quality checks on all work to assure accuracy of patient name, date of service, confidentiality, and proper invoicing.
- 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.
- Experience with contacting and follow-up with insurance carriers on denials, file reconsideration requests, formal appeals, and negotiations (preferred).
- Proficiency in using computer software and technology, data entry, and 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 (a plus).
The estimated annual salary for this position is $42,200 - $68,490, depending on location and experience. We offer a comprehensive benefits package, including health insurance, retirement savings plan, paid time off, and opportunities for professional growth and development.
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