Guardant Health
Reimbursement Specialist II
Guardant Health, Palo Alto, California, United States, 94306
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 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.
Job Description
About the Team: The Reimbursement Operations Team at Guardant Health is committed to building for the future, focusing on optimizing billing and reimbursement and ensuring we stay true to our company mission and values in the process. About the Role: As a Reimbursement Specialist II, you play an important role in the overall success of the company. Working with our billing tool provider, you will drive payment for our services, and by 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’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. Qualifications
You are interested in being on the ground floor of a dynamic, fast-paced organization. You are organized and have strong attention to detail, are a self-starter, and can work with minimal supervision. Tech-savvy and analytical, you enjoy unpacking and resolving complex issues. Customer service is in your DNA, and you are known for your ability to communicate effectively through even the most tangled scenarios. Your background includes three to five years of work experience in a healthcare environment focused on healthcare reimbursement, including knowledge of health plan regulations and processes. Your previous experience in similar roles enables you to hit the ground running and contribute insights and solutions to your team. You should have moderate Excel skills, like the ability to sort, filter, and perform simple calculations. You have experience working with a broad range of payers and have appealed to state-level agencies or external level review with IRO/IRBs. Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals, and national as well as regional payers throughout the country are a plus. Additional Information
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. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. The US hourly range for this full-time position is $27.41 to $43.85. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity. The range displayed reflects the minimum and maximum target for new hire salaries across all US locations for the posted role. For positions based in Palo Alto, CA, or Redwood City, CA, the hourly range for this full-time position is $36.54 to $49.33. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity. Within the range, individual pay is determined by work location and additional factors, including, but not limited to, job-related skills, experience, and relevant education or training. If you are selected to move forward, the recruiting team will provide details specific to the factors above. Employee may be required to lift routine office supplies and use office equipment. 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. Ability to sit for extended periods of time. 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. All your information will be kept confidential according to EEO guidelines. 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
About the Team: The Reimbursement Operations Team at Guardant Health is committed to building for the future, focusing on optimizing billing and reimbursement and ensuring we stay true to our company mission and values in the process. About the Role: As a Reimbursement Specialist II, you play an important role in the overall success of the company. Working with our billing tool provider, you will drive payment for our services, and by 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’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. Qualifications
You are interested in being on the ground floor of a dynamic, fast-paced organization. You are organized and have strong attention to detail, are a self-starter, and can work with minimal supervision. Tech-savvy and analytical, you enjoy unpacking and resolving complex issues. Customer service is in your DNA, and you are known for your ability to communicate effectively through even the most tangled scenarios. Your background includes three to five years of work experience in a healthcare environment focused on healthcare reimbursement, including knowledge of health plan regulations and processes. Your previous experience in similar roles enables you to hit the ground running and contribute insights and solutions to your team. You should have moderate Excel skills, like the ability to sort, filter, and perform simple calculations. You have experience working with a broad range of payers and have appealed to state-level agencies or external level review with IRO/IRBs. Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals, and national as well as regional payers throughout the country are a plus. Additional Information
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. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. The US hourly range for this full-time position is $27.41 to $43.85. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity. The range displayed reflects the minimum and maximum target for new hire salaries across all US locations for the posted role. For positions based in Palo Alto, CA, or Redwood City, CA, the hourly range for this full-time position is $36.54 to $49.33. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity. Within the range, individual pay is determined by work location and additional factors, including, but not limited to, job-related skills, experience, and relevant education or training. If you are selected to move forward, the recruiting team will provide details specific to the factors above. Employee may be required to lift routine office supplies and use office equipment. 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. Ability to sit for extended periods of time. 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. All your information will be kept confidential according to EEO guidelines. 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