Full-Time Reimbursement Specialist - Follow Up & Appeals
Guardant Health is hiring a remote Full-Time Reimbursement Specialist - Follow Up & Appeals. The career level for this job opening is Experienced and is accepting Remote, US based applicants remotely. Read complete job description before applying.
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Guardant Health
Job Title
Reimbursement Specialist - Follow Up & Appeals
Posted
Career Level
Full-Time
Career Level
Experienced
Locations Accepted
Remote, US
Salary
HOUR $20 - $33
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Job Details
As a Reimbursement Specialist, you will drive payment for services by partnering with colleagues in Finance and Client Services. You will facilitate optimized billing processes and operations aligned with Guardant Health’s mission and values.
You’re responsible for tracking, reporting and addressing complex outstanding claims, troubleshooting EOBs, appealing non-covered & low pay claims, following-up on claims, and driving positive coverage determinations through external appeals.
Essential Duties and Responsibilities:
- 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
- Resolves most patient concerns or complaints without escalation
- Effectively verify and communicate insurance eligibility, billing, collections and payment responsibilities
- Proves track record of written appeals with success
- Correctly interpret EOB’s for follow-up and/or appeals
- Follow appropriate HIPAA guidelines
- Work well individually and in a team environment accomplishing set goals
- Performs other related duties as assigned
Requirements:
- A minimum 1-3 years of recent experience in professional and facility coding, follow up & appeals, billing, and collections
- Experience with contacting insurance carriers on denials, filing reconsideration requests, formal appeals, and negotiations
- Experience working with a broad range of payers and have appealed to state-level agencies or external-level review with IRO/IRBs.
- Basic math skills to accurately interpret payment & adjustment transactions (must be able to read & understand an EOB)
- 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
- High school diploma or equivalent
FAQs
What is the last date for applying to the job?
The deadline to apply for Full-Time Reimbursement Specialist - Follow Up & Appeals at Guardant Health is
19th of October 2025
. We consider jobs older than one month to have expired.
Which countries are accepted for this remote job?
This job accepts [
Remote, US
] applicants. .
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