Reimbursement Specialist - Order Entry

Summary

Join Guardant Health as a Reimbursement Specialist, Order Entry, and play a vital role in ensuring timely payments for services. Working with our billing tool provider, you will drive payment for our services and partner with colleagues in Finance and Client Services to optimize billing processes. You will be responsible for accurate data entry, claim submissions, and troubleshooting denials. This position requires a minimum of one year of experience in professional and facility billing and collections. The work schedule is 9:30 AM to 6 PM PST, Tuesday through Saturday, and follows a hybrid work model with in-office days on Mondays, Tuesdays, and Thursdays for those within 50 miles of a Guardant facility. The role involves processing a high volume of patient demographics and ensuring accurate billing codes and insurance information.

Requirements

• A minimum of 1-year recent experience in both professional and facility billing, and collections with high volume and/or multiple accounts
• Accurate identification of insurance and plan types
• Must be proficient in using a computer, accurate data entry, and have above-average typing skills
• Intermediate to advanced MS Office including Excel
• High school diploma or equivalent

Responsibilities

• Processing a high volume of 500+ patients demographics entries into the billing tool daily
• Accurate data entry of information into computer systems including notating accounts accurately to ensure the best patient experience
• Quality control of daily entries into the billing tool through cross-referencing internal intelligence to ensure the highest level of accuracy
• Creation and set up of insurance plan types in the Xifin billing platform for clean claim submission using a HCFA 1500 claim form or the electronic equivalent
• Follow appropriate HIPAA guidelines to use electronic payor portals to verify patient insurance eligibility
• Follow appropriate HIPAA guidelines to translate patient insurance information into the billing tool and communicate patient insurance information with insurance providers
• Accurate identification and assignment of billing codes to patient orders to generate anticipated price markers
• Work well individually and in a team environment accomplishing set goals
• Performs other related duties as assigned

Preferred Qualifications

• Experience with contacting and following up with insurance carriers on front-end rejections is preferred
• Familiarity with laboratory billing, Xifin, EDI enrollment, payer portals, and national as well as regional payers throughout the country is a plus

Benefits

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