Reimbursement Patient Access Specialist (Remote, 3-Days Hybrid, and 5-Days Onsite Options)

  • Full-time

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

The Reimbursement Patient Access Specialist is responsible for providing exceptional support to Guardant Health customers, the Guardant Health Clinical Laboratory, Sales Representatives and our billing vendor. The Reimbursement Patient Access 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:

  • Receive and respond to telephone and email inquiries from physician offices, insurance companies, sales representatives and patient’s inquiries.
  • Check incoming requisitions for insurance, Medicare, Medical, etc. patient eligibility.
  • Contact clients and patients to obtain or verify billing data.
  • Contact clients and patients with information on our Financial Assistance Program.
  • Export data from LIMS; upload data into various applications for benefits eligibility and patient information.
    Document all phone calls and follow up activities.
  • Contact physicians and other medical personnel to obtain missing information pertaining to billing.
  • Adhere to Standard Operating Procedures (SOP’s) pertaining to Client Services requirements.
  • Perform quality checks to ensure accuracy of data entry.
  • Appropriately field calls for reimbursement and billing.
  • Other administrative duties.
  • Verify incoming requisitions for payment type and data accuracy.
  • Hours and days may vary depending on operational needs, and some lifting (up to 25 pounds) may be necessary.

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.

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

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.

For positions based in Palo Alto, CA or Redwood City, CA, the hourly range for this full-time position is $25.24 to $34.36 USD. The range does not include benefits and, if applicable, overtime, bonus, commission, or equity.

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 [email protected]

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.

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

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