Guardant Health is a leading precision oncology company focused
on helping conquer cancer globally through use of its proprietary
blood 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. Guardant
Health has launched liquid biopsy-based Guardant360, Guardant360
CDx and GuardantOMNI tests for advanced stage cancer patients.
These tests fuel development of its LUNAR program, which aims to
address the needs of early-stage cancer patients with neoadjuvant
and adjuvant treatment selection, cancer survivors with
surveillance, asymptomatic individuals eligible for cancer
screening and individuals at a higher risk for developing cancer
with early detection.
This role works out of our Headquarters in Redwood City, CA.
Due to the Covid 19 Pandemic Guardant Health has temporarily
classified this role as 'working from home status,' scheduled to
return onsite at HQ when it is determined safe to do so.
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.
As a Reimbursement Specialist - Follow up and Appeals, 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
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.
- You are interested in being on the ground floor of a dynamic,
fast paced organization.
- Strong organizational skills with strong attention to detail,
self-starter and can work with minimal supervision.
- Tech savvy and analytical, you enjoy unpacking and resolving
- Customer service is in your DNA, and you are known for your
ability to communicate effectively through even the most tangled
- Experience includes three years of work experience in a
healthcare environment focused on healthcare reimbursement,
including knowledge of health plan regulations and processes.
- Previous experience in similar roles enables you to hit the
ground running and contribute insights and solutions to your
- Moderate Excel skills, the ability to sort, filter and perform
simple calculations required.
- Experience working with a broad range of payers and have
appealed to state level agencies or external level review with
- Familiarity with laboratory billing, Xifin, EDI enrollment,
merchant solutions, payer portals and national as well as regional
payers throughout the country are a plus.
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
Please visit our career page at: http://www.guardanthealth.com/jobs/
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