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. Founded in 2012, Guardant® is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer. The Supervisor, Revenue Cycle – Appeals and Claims Follow-Up is responsible for leading the day-to-day operations and performance of the Appeals and Claims Follow-Up team. This role oversees employees responsible for resolving denied, underpaid, and outstanding claims and developing effective appeal and follow-up strategies to maximize reimbursement. The Supervisor is accountable for team productivity, quality, backlog management, and reimbursement outcomes, with a focus on improving ASP, accelerating claim resolution, and creating sustainable revenue cycle processes. This position requires strong leadership, analytical skills, reimbursement knowledge, and the ability to collaborate across teams to address systemic issues impacting revenue.

Responsibilities

• Lead, coach, and develop team members while establishing clear expectations for productivity, quality, timeliness, and reimbursement performance.
• Monitor individual and team performance through operational metrics, dashboards, quality reviews, and reimbursement outcomes.
• Conduct regular team and individual meetings to establish priorities, address barriers, provide feedback, and identify development opportunities.
• Promote a culture of accountability, collaboration, continuous improvement, and ownership of results.
• Oversee appeals and claims follow-up activities for denied, underpaid, incorrectly processed, and outstanding claims.
• Develop effective payer-specific strategies for claim follow-up, reconsiderations, appeals, and escalations to improve reimbursement.
• Monitor inventory, aging, and filing deadlines to ensure accounts are appropriately prioritized and backlogs are proactively managed.
• Serve as an escalation resource for complex reimbursement issues and ensure activities align with payer and regulatory requirements.
• Drive strategies focused on improving ASP, reimbursement outcomes, claim resolution, and overall revenue cycle performance.
• Analyze denial, payment, appeal, and payer trends to identify root causes and opportunities for