Reimbursement Specialist - Medical Records Processor (9:00 AM - 6:00 PM PST, Monday - Friday Shift)

Reimbursement Specialist - Medical Records Processor (9:00 AM - 6:00 PM PST, Monday - Friday Shift)

10 Dec 2024
California, Paloalto, 94303 Paloalto USA

Reimbursement Specialist - Medical Records Processor (9:00 AM - 6:00 PM PST, Monday - Friday Shift)

Location: Onsite, Hybrid or Remote Options availableShift: 9:00 AM - 6:00 PM PST, Monday - Friday ShiftAs a Reimbursement Specialist, Medical Records Processor, you play an important role in the overall success of the company. Working with our billing tool provider, you will drive payment for our services, and by partnering with colleagues in Finance and Client Services. You will facilitate optimized billing processes and operations that are aligned with Guardant Health’s mission and values.You’re responsible for work closely with physicians and hospital staff to obtain release of complete, accurate, and compliant documentation for reimbursement for services provided in a timely and efficient manner ensuring accuracy.Essential Duties and Responsibilities but not limited to::Provide superior customer service by being attentive; insures understanding of customer request; being proactive in identifying and addressing concerns or problemsObtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, medical staff, ancillary staffAnalyze 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 request electronically and manuallyPerforms quality checks on all work to assure accuracy of the patient name, date of servise, confidentiality, and proper invoicingFollow appropriate HIPAA guidelines by validating requests and authorizations for release of medical information to/frpm primary care provider, insurance carriers, referred providers and patients per patient requestWork 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 release of information backlogsReview each document and determine if image/document should be uploaded as a new document, replacing a document or deletedAbility to accurately and efficiently utilize a computer for data input, retrieval of data, running reports and all other tasks associated with release of information servicesAttends and participates in 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

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