Reimbursement Triage Specialist

Reimbursement Triage Specialist

Requirements

• A minimum of 1-year recent experience in both professional and facility release of information, medical records, or other related experience in a healthcare environment, and collections with high volume and/or multiple accounts
• Must be proficient using computer software and technology, data entry, and have above average typing skills
• Intermediate to advanced MS Office including Excel
• High school diploma or equivalent

Responsibilities

• Provide superior customer service by being attentive; ensures understanding of customer request; being proactive in identifying and addressing concerns or problems
• Analyze all clinical and financial information from a variety of internal and external sources (mail, email, portals, fax, CD, copying/scanning etc…)
• Process all incoming and outgoing requests electronically and manually
• Follow appropriate HIPAA guidelines by validating requests and authorizations for release of medical information to/from primary care provider, insurance carriers, referred providers and patients per patient request
• Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families
• Work well individually and in a team environment accomplishing set goals; willingly accepts assignments and is available to take on additional tasks facilities or assist with backlogs
• Review each document and determine if image/document should be uploaded as a new document, replacing a document or deleted
• Ability to accurately and efficiently utilize a computer for data input, retrieval of data, running reports and all other tasks associated with release of information services
• Attends and participates in the required educational training sessions and staff meetings as scheduled and assigned
• Maintains equipment in excellent operating condition (inside and out) and troubleshoot equipment issues with assistance from the Help Desk department
• Performs other related duties as assigned

Preferred Qualifications

• Experience with contacting and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations (preferred)
• Familiarity with laboratory billing, Xifin, Salesforce, merchant solutions, payer portals and national as well as regional payers throughout the country are a plus
• Must be willing to travel to multiple Guardant campus based on the needs of the company