Reimbursement Posting Specialist II - Guardant Health

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.

Position Summary:

As a 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 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 ensuring efficient and accurate provider enrollment applications are submitted to medical insurance carriers in a timely manner.   

Essential Duties and Responsibilities:

• Provide billing and reimbursement assistance to patients while providing superior customer service and respect to patients and their families
• Accurate data entry of information into computer systems including notating accounts accurately
• Work well individually and in a virtual environment accomplishing set goals
• Correctly interpret Insurance Correspondence for allocating insurance responses from Explanation of Benefits (EOB) against appropriate line item service and enter adjustments as indicated; Posting all denied charges for appeals department
  • Sources of documentation that may be used to resolve balance discrepancy include, but are not limited to, the following information sources:
    • Electronic Remittance Advices (ANSI 835 ERA files)
    • Hardcopy remittance advice/EOBs received from the bank via lockbox batches
• Works effectively and efficiently with other departments to resolve issues and correct Cash Posting errors
• Complete, submit, and tracks Clearinghouse applications for Claim Submission (EDI) and Electronic Remittance Advice (ERA)
• Complete EFT authorization documents to enable payment between client and carrier
• Works closely with the Manager, Credentialing Services, Implementation Vendors to ensure the timely onboarding/enrollments of new providers and the ongoing re-enrollment/validation of existing providers
• Advise Team Lead and/or Collection Rep of denied charges, rejected claims or any other issues that affect reimbursement.
• Document additional necessary information for explanation of benefits (EOB) clear and accurate manner to insure others can follow documentation.
• Allocating Patient Payments to the appropriate account in a timely manner
• Analyzing Bank Lockbox and ACH transactions and applying cash using Xifin software
• Collaborating with A/R staff to locate and process missing payments
• Unapplied Payment and Error Remit Reports
• Identifying and reporting trends by Payer
• Reconciling all cash while meeting monthly deadlines
• Quickly interpreting insurance payments and EOBs that may include errors
• Maintain the strictest confidentiality; adhere to all HIPAA guidelines/regulations
• Performs other related duties as assigned

• Minimum 3+ years recent experience in both professional and facility billing, and collections with high volume and/or multiple accounts

• Experience with contacting and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations (preferred)

• Basic math skills to accurately interpret payment & adjustment transactions (must be able to read & understand an EOB)

• Must be proficient using a computer, data entry, and have above average typing skills

• Intermediate to advanced MS Office including Excel

• Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals and national as well as regional payers throughout the country are a plus

• High school diploma or equivalent

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.

The US hourly range for this full-time position is $20.19 to $32.31. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity. The range displayed reflects the minimum and maximum target for new hire salaries across all US locations for the posted role with the exception of any locations specifically referenced below (if any).

Within the range, individual pay is determined by work location and additional factors, including, but not limited to, job-related skills, experience, and relevant education or training. If you are selected to move forward, the recruiting team will provide details specific to the factors above.

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 committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to Peopleteam@guardanthealth.com

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/