Supervisor, Reimbursement Appeals and Follow-up

About the Role

Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. The Supervisor, Reimbursement Appeals and Follow-up provides exceptional support to Guardant Health customers, the Guardant Health Clinical Laboratory, Sales Representatives, and our billing vendor. This role requires professional and effective communication with external customers and internal Guardant Health personnel.

Responsibilities

• Supervise a team of Reimbursement Patient Access Specialists.
• Conduct regular team and individual staff meetings.
• Approve timecards and time off requests.
• Ensure timely and accurate resolution of financial cases and patient outreach.
• Perform regular audits to verify data accuracy and insurance validity.
• Evaluate and update processes to align with sample volume and policy changes.
• Verify incoming requisitions for payment type and data accuracy, including insurance, Medicare, and Medicaid eligibility.
• Contact clients and patients to obtain or verify billing data and provide information on the Financial Assistance Program.
• Export data from LIMS and upload it into various applications for benefits eligibility and patient information.
• Document all phone calls and follow-up activities.
• Contact physicians and other medical personnel to obtain missing billing information.
• Adhere to Standard Operating Procedures (SOPs) for Reimbursement, Patient Pre-Billing, and Financial Assistance Program (FAP).
• Perform quality checks to ensure accuracy of data entry.
• Field calls related to reimbursement and billing.
• Perform other administrative duties as needed.

Requirements

• Bachelor of Arts or Science in Biomedical Laboratory Science, Clinical Science, or a related field preferred.
• Ability to work as part of a team with internal employees, contractors, and managers.
• Strong multitasking skills and ability to handle various projects.
• Self-discipline, good judgment, and ability to work independently in a dynamic office setting.
• Excellent written and verbal communication skills, along with computer proficiency.
• Solid experience using Salesforce and Microsoft Office.
• Flexibility with working hours based on operational needs.
• Ability to lift up to 10 lbs.

Skills

• AI & Digital Fluency: Demonstrate curiosity, sound judgment, and the ability to critically evaluate and responsibly leverage AI-enabled tools in accordance with company policies, ethical standards, and regulatory requirements to improve efficiency, effectiveness, and quality of work.

Schedule

Hybrid work model requiring onsite presence on Mondays, Tuesdays, and Thursdays for U.S. employees living within 50 miles of a Guardant facility. This model supports in-person collaboration and focused individual work time.

Pay

The annualized base salary ranges for this role are as follows:

• Primary Location (Remote - USA): $94,200 - $129,500
• Other U.S. Locations: $80,070 - $110,075
• Colorado: $84,780 - $116,550

Each candidate’s compensation offer will be based on factors including, but not limited to, geography, experience, education, job-related skills, job duties, and business need.