Reimbursement Specialist - Order Entry (REMOTE, Tuesday through Saturday Shift)

Company: Guardant Health
Location: Garland
Posted on: May 14, 2022

Job Description:

Company Description

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.

Job Description

(This is position is a HYBRID, and the working schedule is Tuesday through Saturday; either 9:00 AM to 6:00 pm or 10 AM to 7 PM Pacific Standard Time)

As a Billing and Reimbursement Specialist, 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 incoming demographics entry into the billing tool and clean claims submissions using a HCFA 1500 claims form or electronic equivalent. Incoming demographics information will be transferred from LIMS/LIS portal to the billing tool and checked for eligibility prior to claim submission. Troubleshooting front-end denials of electronic claims using payer portals will ensure that tests are billed in a timely manner to payers.

Essential Duties and Responsibilities:

• Processing incoming demographics entries into the billing tool and clean claims submissions using HCFA 1500 claims form or electronic equivalent
• Accurate data entry of information into computer systems including notating accounts accurately
• Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
• Effectively verify and communicate to patients and their families insurance eligibility, billing, collections and payment responsibilities
• 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 a 1 of year recent experience in both professional and facility billing, and collections with high volume and/or multiple accounts
  • Experience with contacting and following up with insurance carriers on front end rejections is preferred
  • Must be proficient using a computer, accurate data entry, and have above average typing skills
  • Intermediate to advanced MS Office including Excel
  • Familiarity with laboratory billing, Xifin, EDI enrollment, payer portals and national as well as regional payers throughout the country are a plus
  • High school diploma or equivalent
    
    Additional Information
    
    Covid Vaccination Policy: Starting January 7, 2022, Guardant Health will require all employees to be fully vaccinated to either (a) establish that they have been fully vaccinated against COVID-19; or (b) request and obtain an approved exemption from Guardant's COVID-19 U.S. Vaccination Policy as a reasonable accommodation, as consistent with applicable laws. An employee is considered fully vaccinated against COVID-19 two weeks after receiving the second dose of a two-dose vaccine or one dose of a single-dose vaccination. Acceptable vaccines are approved or under emergency use authorization by the U.S. Food and Drug Administration (FDA) and/or the World Health Organization (WHO). In addition, fully-vaccinated employees will be required to maintain their fully-vaccinated status under this policy by obtaining, if applicable, any FDA-approved boosters.
    
    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.
    
    Please visit our career page at: http://www.guardanthealth.com/jobs/
    
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Keywords: Guardant Health, Garland , Reimbursement Specialist - Order Entry (REMOTE, Tuesday through Saturday Shift), Other , Garland, Texas