Castle Biosciences, Inc. · 1 week ago
Reimbursement, Reimbursement Specialist (Claim Denial & Appeal Focus)-Remote
United States
Full-time
Remote
Entry, Mid Level
$46K/yr - $47K/yr
2+ years expCastle Biosciences, Inc. is a growing company recognized for its excellent workplace culture. They are seeking a Reimbursement Specialist focused on claim denial and appeals to resolve denied insurance claims and provide high-level customer service to both internal and external customers.
BiotechnologyHealth CareHealth Diagnostics
No H1B
Responsibilities
Resolving denied insurance claims for laboratory services by providing payers with requested documentation
Initiating the appeal process on behalf of the patient
Following up on outstanding transactions and delivering the highest level of customer service to internal and external customers
Reviewing and resolving front-end claim issues to ensure timely, accurate submission
Reviewing Explanation of Benefits (EOBs), electronic remittance advice, and denial letters
Assigning ANSI codes and taking appropriate action in the billing system
Contacting insurance companies for missing information or claim status
Using payer portals for follow-up and supplying additional documentation needed to adjudicate claims
Creating custom appeals with appropriate arguments to overturn denials based on payer medical policy or state laws
Submitting both standard and custom appeal letters for insurance companies including Medicare, Medicare Advantage, and commercial plans
Qualification
Required
High School Diploma or equivalent GED or equivalent work experience
Two years of health insurance billing with experience in identifying and resolving claim issues for laboratory tests
Must have a working knowledge of various payers' designations of authorized representative forms
Experience handling a high volume of claims work on a daily basis (35 plus claims per day)
Must demonstrate the ability to type 35 WPM with 90% or higher accuracy
All candidates must be legally authorized to work in the United States
Benefits
20 Accrued PTO Days Annually
10 Paid Holidays
401K with 100% Company Match up to 6%
3 Health Care Plan Options + Company HSA Contribution
Company Stock Grant Upon Hire
$75/month reimbursement for internet service
Company
Castle Biosciences, Inc.
Castle Biosciences (Nasdaq: CSTL) is a leading diagnostics company improving health through innovative tests that guide patient care.
501-1000 employees
Funding
Current Stage
Public CompanyTotal Funding
$427.33MKey Investors
BrightEdge FundIndustry VenturesHealthQuest Capital
2020-12-15Post Ipo Equity· $266.8M
2020-06-24Post Ipo Equity· $74M
2019-07-24Series Unknown
Leadership Team
Derek Maetzold
President, CEO and Founder
Recent News
GlobeNewswire
2026-01-12
Company data provided by crunchbase