Full-Time Senior Reimbursement Specialist - Prior Authorization
Guardant Health is hiring a remote Full-Time Senior Reimbursement Specialist - Prior Authorization. The career level for this job opening is Experienced and is accepting Palo Alto, CA based applicants remotely. Read complete job description before applying.
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Guardant Health
Job Title
Senior Reimbursement Specialist - Prior Authorization
Posted
Career Level
Full-Time
Career Level
Experienced
Locations Accepted
Palo Alto, CA
Salary
HOUR $28 - $39
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Job Details
As a Senior Reimbursement Specialist, you will optimize billing operations and independently manage the full prior authorization lifecycle. You will spearhead efforts to streamline processes and resolve escalated reimbursement issues.
Key Responsibilities:
- Manage Prior Authorization Lifecycle: Independently handle the full prior authorization process.
- Optimize Billing Operations: Collaborate with the billing tool provider and internal teams to enhance billing efficiency.
- Resolve Reimbursement Issues: Address and troubleshoot complex denials and reimbursement challenges.
- Facilitate Communication: Work closely with ordering physician offices and internal teams.
- Maintain Accurate Documentation: Manage payer communications and insurance claims research.
- Develop Training & Quality Control: Contribute to the design and implementation of training programs.
- Collaborate with Offshore Teams: Work with Reimbursement management and offshore teams.
- Accurately enter and maintain data in computer systems.
- Verify and communicate insurance eligibility.
- Draft and submit written appeals.
- Interpret Prior Authorization Denials.
- Adhere to HIPAA guidelines.
- Work effectively both independently and as part of a team.
Minimum Requirements:
- 5+ years recent experience in coding, billing, and prior authorization.
- Experience with contacting insurance carriers on denials and appeals.
- Proficient using a computer and data entry.
- Intermediate to advanced MS Office including Excel.
- Familiarity with laboratory billing is a plus.
- High school diploma or equivalent; bachelor’s degree preferred.
FAQs
What is the last date for applying to the job?
The deadline to apply for Full-Time Senior Reimbursement Specialist - Prior Authorization at Guardant Health is
1st of August 2025
. We consider jobs older than one month to have expired.
Which countries are accepted for this remote job?
This job accepts [
Palo Alto, CA
] applicants. .
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