Reimbursement Specialist - Order Entry (REMOTE, Tuesday through Saturday Shift)
Company: Guardant Health
Location: Orlando
Posted on: May 16, 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/
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Keywords: Guardant Health, Orlando , Reimbursement Specialist - Order Entry (REMOTE, Tuesday through Saturday Shift), Other , Orlando, Florida
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