Job Description

(DUE TO THE COVID 19 PANDEMIC GUARDANT HEALTH HAS TEMPORARILY CLASSIFIED THIS ROLE AS ‘WORKING FROM HOME STATUS,’ SCHEDULED TO RETURN ONSITE IN SPRING, TX WHEN IT IS DETERMINED SAFE TO DO SO.)

As a REIMBURSEMENT OPERATIONS ASSOCIATE, 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 are responsible for documenting appropriate payer communication and/or correspondence for insurance claim research and/or appeals. ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
• Correctly interpret EOB’s for follow-up and/or appeals
• Follow appropriate HIPAA guidelines provide medical records to primary care provider, insurance carriers, referred providers and patients per patient request
• Work well individually and in a team environment accomplishing set goals
• Performs other related duties as assigned

Qualifications

• Minimum 1 -3 years recent experience in both professional and facility billing, and collections with high volume and/or multiple accounts
• Experience with contacting and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations (preferred)
• Basic math skills to accurately interpret payment & adjustment transactions (must be able to read & understand an EOB)
• Must be proficient using a computer, data entry, and have above average typing skills
• Intermediate to advanced MS Office including Excel
• Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals and national as well as regional payers throughout the country are a plus
• High school diploma or equivalent

Additional Information

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 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.

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