Reimbursement Specialist, Order Entry (Remote, 3-Days Hybrid, and 5-Days Onsite Options. Tuesday through Saturday Shift)

Company Description

Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary 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 commercially launched Guardant360®, Guardant360 CDx, Guardant360 TissueNext™, Guardant360 Response™, and GuardantOMNI® tests for advanced stage cancer patients, and Guardant Reveal™ for early-stage cancer patients. The Guardant Health screening portfolio, including the Shield™ test, aims to address the needs of individuals eligible for cancer screening.

Job Description

(Position Schedule is Tuesday through Saturday)

As a Reimbursement Specialist, Order Entry, 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

• A minimum of 1-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 in 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 is a plus
• High school diploma or equivalent

Work Environment:

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.

Additional Information

Hybrid Work Model: At Guardant Health, we have defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.

Covid Vaccination Policy:  Guardant Health requires all employees to be fully vaccinated. We follow the CDC guidelines for the definition of “fully vaccinated”, meaning an employee is consider fully vaccinated against COVID-19 after receiving the second dose of a two-dose vaccine or one dose of a single-dose vaccination, and necessary booster vaccines. 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. Candidates may request an exemption from Guardant’s COVID-19 U.S. Vaccination Policy as a reasonable accommodation, as consiste