Disability Specialist

6 days ago

Palo Alto, California, United States Guardant Health Full time

Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through the use of its proprietary tests, vast data sets, and advanced analytics.

The company's oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes, and lower healthcare costs across all stages of the cancer care continuum.

Guardant Health has commercially launched several tests for advanced stage cancer patients, including Guardant360, Guardant360 CDx, Guardant360 TissueNext, Guardant360 Response, and GuardantOMNI.

The company's screening portfolio, including the Shield test, aims to address the needs of individuals eligible for cancer screening.

As a Reimbursement Specialist, you will play a crucial role in the overall success of the company by driving payment for our services and partnering with colleagues in Finance and Client Services.

You will facilitate optimized billing processes and operations that are aligned with Guardant Health's mission and values.

You will be responsible for tracking, reporting, and addressing complex outstanding claims, troubleshooting EOBs, appealing non-covered and low-pay claims, following up on claims, and driving positive coverage determinations through external appeals.

You will manage documentation for appropriate payer communication, correspondence, and insurance claim research.

The ideal candidate will have a minimum of 1 year of work experience in a healthcare environment focused on healthcare reimbursement, including knowledge of health plan regulations and processes.

You should be organized, have strong attention to detail, be a self-starter, and able to work with minimal supervision.

Additionally, you should have moderate Excel skills, such as the ability to sort, filter, and perform simple calculations.

Employee may be required to lift routine office supplies up to 25 lbs 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, fumes, and biohazard material in the laboratory environment.

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

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.

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.

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