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CareDx, Inc. · 16 hours ago

Reimbursement Specialist

United States

Full-time

Onsite

Mid Level

$26/hr - $33/hr

3+ years exp

CareDx, Inc. is a leading precision medicine solutions company focused on the discovery and commercialization of healthcare solutions for transplant patients. The Insurance Reimbursement Specialist is responsible for maximizing reimbursement by collecting outstanding balances from insurance companies and working closely with various teams to ensure appropriate coverage and reimbursement.

BiotechnologyHealth CareHealth DiagnosticsInformation Technology

No H1B

Responsibilities

Resolve aged claims and appeals without payer responses via payer portals & outbound phone calls

Identify claims that need a first, second, or third level appeal

Assist teammates with projects and denial work queue management

Prioritize an assigned work queue to ensure timely work is balanced with working the most payable claims

Identify non-payment trends and, in collaboration with Revenue Cycle leadership, escalate groups of claims to the CareDx Payer Dispute Resolution or Market Access teams

Investigate denial and non-payment trends identified by the Revenue Cycle Analytics team. Propose solutions and collaborate cross-functionally with the Denials Management Steering Committee

Share opportunities to improve upstream work to prevent denials

Work with patients when their assistance is needed in the appeal process

Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance

Qualification

Medical billing experienceMolecular laboratory billingHIPAA knowledgeHealth insurance terminologyAnalytical skillsPeople skillsProblem-solving abilitiesCommunication skillsAttention to detail

Required

High school diploma or equivalent

3-5 years' experience in medical billing; strong preference will be given to candidates with molecular laboratory billing experience. Medical billing experience may be substituted with a bachelor's degree

Understanding of patient protections under HIPAA and proper handling of protected health information (PHI)

Working knowledge of health insurance and terminology

Excellent communication and people skills

Meticulous with strong analytical and problem-solving abilities

Benefits

Health and welfare benefits, including a gym reimbursement program

401(k) savings plan match

Employee Stock Purchase Plan

Pre-tax commuter benefits

Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow.

Company

CareDx, Inc.

CareDx, Inc., headquartered in South San Francisco, is a precision medicine company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers.

Founded in 1998

Brisbane, California, USA

501-1000 employees