Guardant Health
Reimbursement Specialist - Follow Up & Appeals (8:00 AM - 5:00 PM PST, Monday -
Guardant Health, Palo Alto, California, United States, 94306
Reimbursement Specialist - Follow Up & Appeals (8:00 AM - 5:00 PM PST, Monday - Friday Shift)
Full-timeGuardant 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 clinical outcomes and lower healthcare costs across all stages of the cancer care continuum.Location: Remote, 3-Days Hybrid, and 5-Days Onsite OptionsShift: 8:00 AM - 5:00 PM PST, Monday - Friday ShiftAs a
Reimbursement Specialist, Follow Up and Appeals , you play an important role in the overall success of the company. You will drive payment for our services by partnering with colleagues in Finance and Client Services to facilitate optimized billing processes aligned with Guardant Health’s mission and values.You’re responsible for tracking, reporting, and addressing complex outstanding claims. You will work to troubleshoot EOBs, appeal non-covered & low pay claims, follow-up on claims, and drive positive coverage determinations through external appeals. You will manage documentation for appropriate payer communication, correspondence, and insurance claim research.Minimum Requirements:High school diploma or equivalent.A minimum of 1 year of work experience in a healthcare environment focused on healthcare reimbursement, including knowledge of health plan regulations and processes.Organized with strong attention to detail, self-starter who can work with minimal supervision.Moderate Excel skills, including the ability to sort, filter, and perform simple calculations.Experience working with a broad range of payers and appealing to state level agencies or external level review with IRO/IRBs.Employee may be required to lift routine office supplies up to 25 lbs and use office equipment.Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals, and national as well as regional payers throughout the country are a plus.Hybrid Work Model:
At Guardant Health, we have 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.Compensation:
For positions based in Palo Alto, CA or Redwood City, CA, the hourly range for this full-time position is $24.52 to $34.13. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity.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 Peopleteam@guardanthealth.com.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.To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our
Privacy Notice for Job Applicants .
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Full-timeGuardant 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 clinical outcomes and lower healthcare costs across all stages of the cancer care continuum.Location: Remote, 3-Days Hybrid, and 5-Days Onsite OptionsShift: 8:00 AM - 5:00 PM PST, Monday - Friday ShiftAs a
Reimbursement Specialist, Follow Up and Appeals , you play an important role in the overall success of the company. You will drive payment for our services by partnering with colleagues in Finance and Client Services to facilitate optimized billing processes aligned with Guardant Health’s mission and values.You’re responsible for tracking, reporting, and addressing complex outstanding claims. You will work to troubleshoot EOBs, appeal non-covered & low pay claims, follow-up on claims, and drive positive coverage determinations through external appeals. You will manage documentation for appropriate payer communication, correspondence, and insurance claim research.Minimum Requirements:High school diploma or equivalent.A minimum of 1 year of work experience in a healthcare environment focused on healthcare reimbursement, including knowledge of health plan regulations and processes.Organized with strong attention to detail, self-starter who can work with minimal supervision.Moderate Excel skills, including the ability to sort, filter, and perform simple calculations.Experience working with a broad range of payers and appealing to state level agencies or external level review with IRO/IRBs.Employee may be required to lift routine office supplies up to 25 lbs and use office equipment.Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals, and national as well as regional payers throughout the country are a plus.Hybrid Work Model:
At Guardant Health, we have 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.Compensation:
For positions based in Palo Alto, CA or Redwood City, CA, the hourly range for this full-time position is $24.52 to $34.13. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity.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 Peopleteam@guardanthealth.com.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.To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our
Privacy Notice for Job Applicants .
#J-18808-Ljbffr