Reimbursement Specialist - Follow Up & Appeals

Guardant Health
San Jose, CA
Category Legal
Job Description
Guardant Health is seeking a Reimbursement Specialist – Follow Up and Appeals to support the payment of their services, working with billing tools and collaborating with Finance and Client Services. The role focuses on tracking, reporting, and addressing claims, ensuring compliance with payer regulations and driving positive coverage determinations. This is a full-time position that offers flexibility depending on the chosen work schedule.

Requirements

  • Accurate data entry of information into computer systems
  • Troubleshooting EOBs, filing reconsideration requests, formal appeals, and negotiations
  • Verification and communication with patients about insurance eligibility
  • Proper documentation for payer communication
  • HIPAA compliance and medical record review
  • Proficiency with computer software, data entry, and typing skills
  • Understanding of payer portals, merchant solutions, and national/regional payers
  • High school diploma or equivalent
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