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.

(Monday through Friday, 6:00 am to 3:00 pm PST Shift) 

As a Billing and Reimbursement Specialist, you play an important role in the overall success of the company. Partnering with client services, finance and other teams, you will drive payment for our 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 our clients into Guardant order management software to the billing tool. The insurance information is 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. The Billing and Reimbursement specialist must possess the ability to communicate professionally and effectively with all individuals, including external customers and internal Guardant Health personnel.

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 insurance eligibility, billing, collections and payment responsibilities
• Receive and respond to telephone and email inquiries from physician offices, insurance companies, sales representatives, and patients
• 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
• Contact clients and patients to obtain or verify billing data
• Contact clients and patients with information on our Financial Assistance Program.
• Document all phone calls and follow up activities
• Adhere to Standard Operating Procedures (SOP’s) pertaining to the job responsibilities and external communication
• Perform quality checks to ensure accuracy of data entry
• Other administrative duties
• Verify incoming requisitions for payment type and data accuracy

• A minimum of 1 of year 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 front end rejections is preferred
• Must be proficient using a computer, accurate data entry, and have above average typing skills
• Excellent written, verbal communication skills are required, as is computer proficiency in order to communicate well with Guardant customers
• Intermediate to advanced MS Office, including Excel
• Familiarity with laboratory billing, Xifin, EDI enrollment, payer portals, and Salesforce are a plus
• Flexibility with respect to working hours based on operational need
• 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.

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.

Please visit our career page at: http://www.guardanthealth.com/jobs/

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