Reimbursement Specialist - Order Entry (REMOTE, Tuesday through Saturday Shift)
Company: Guardant Health
Location: San Jose
Posted on: May 15, 2022
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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/ , , ,
Keywords: Guardant Health, San Jose , Reimbursement Specialist - Order Entry (REMOTE, Tuesday through Saturday Shift), Other , San Jose, California
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