Reimbursement Specialist

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.

Qualifications

• Education: High school diploma or equivalent.
• Experience: 3-5 years’ experience in medical billing; strong preference will be given to candidates with molecular laboratory billing experience.
• 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.

Additional Details

This is a full-time position, Monday through Friday, with occasional overtime as needed. Candidates within commuting distance of the Brisbane, California office will need to come to the office on a regular basis; remote candidates will work and collaborate from home.

CareDx, Inc. is an Equal Opportunity Employer and participates in the E-Verify program.

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#LI-Remote

This is the anticipated base salary range in the United States. The final salary offered to a successful candidate will be dependent on several factors that may include, but are not limited to, the type and length of experience within the job, the type and length of experience within the industry, education, etc. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives and restricted stock units.

CareDx is a multi-state employer, and this salary range may not reflect positions that work in other states.

Remote: US only roles

$26 - $33 USD

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