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Job Title: Medical Records Processor (HYBRID)
Company Name: Guardant Health
Location: Palo Alto, CA United States
Position Type: Full Time
Post Date: 06/25/2022
Expire Date: 09/13/2022
Job Categories: Computers, Software, Customer Service and Call Center, Finance/Economics, Healthcare, Other, Healthcare, Practitioner and Technician, Information Technology, Insurance, Research & Development, Medical
Job Description
Medical Records Processor (HYBRID)

Company Description

Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary blood tests, vast data sets and advanced analytics. The Guardant Health Oncology Platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum. Guardant Health has launched liquid biopsy-based Guardant360®, Guardant360 CDx and GuardantOMNI® tests for advanced stage cancer patients. These tests fuel development of its LUNAR program, which aims to address the needs of early stage cancer patients with neoadjuvant and adjuvant treatment selection, cancer survivors with surveillance, asymptomatic individuals eligible for cancer screening and individuals at a higher risk for developing cancer with early detection.

Job Description

(While the role is hybrid, training will be virtual and onsite; requiring to be able to come into the office from time to time.)

As a 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 working closely with physicians and hospital staff to obtain the 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 requests; being proactive in identifying and addressing concerns or problems
  • Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, medical staff, ancillary staff
  • 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
  • Performs quality checks on all work to assure the accuracy of the patient name, date of service, confidentiality, and proper invoicing
  • Follow appropriate HIPAA guidelines by validating requests and authorizations for the release of medical information to/from the primary care providers, insurance carriers, referred providers, and patients per patient request
  • 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 the release of information backlogs
  • Review each document and determine if the 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 the release of information services
  • Attends and participates in required educational training sessions and staff meetings as scheduled and assigned.
  • Maintains equipment in excellent operating condition (inside and out) and troubleshoots equipment issues with assistance from the Help Desk department.
  • Performs other related duties as assigned

Qualifications

  • 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
  • Experience with contacting and following up with insurance carriers on denials, filing reconsideration requests, formal appeals, and negotiations (preferred)
  • Must be proficient in using computer software and technology, data entry, and have above-average typing skills
  • Intermediate to advanced MS Office including Excel
  • Familiarity with laboratory billing, Xifin, Salesforce, merchant solutions, payer portals, and national as well as regional payers throughout the country is a plus
  • Ability to work professionally, effectively, and efficiently in a team environment with customers, management, and co-workers
  • Must be willing to travel to multiple Guardant campuses based on the needs of the company
  • High school diploma or equivalent
  • Experience with contacting and following up with insurance carriers on denials, filing reconsideration requests, formal appeals, and negotiations (preferred)
  • Must be proficient in using computer software and technology, data entry, and have above-average typing skills
  • Intermediate to advanced MS Office including Excel
  • Familiarity with laboratory billing, Xifin, Salesforce, merchant solutions, payer portals, and national as well as regional payers throughout the country is a plus
  • Ability to work professionally, effectively, and efficiently in a team environment with customers, management, and co-workers
  • Must be willing to travel to multiple Guardant campuses based on the needs of the company
  • High school diploma or equivalent

Work Environment:

Employees may be required to lift routine office supplies and use office equipment.  The majority of the work is performed in a desk/office environment; however, there may be exposed to high noise levels, fumes, and biohazard material in the laboratory environment.  Ability to sit for extended periods of time.

Additional Information

Covid Vaccination Policy: Starting January 7, 2022, Guardant Health will require all employees to be fully vaccinated to either (a) establish that they have been fully vaccinated against COVID-19; or (b) request and obtain an approved exemption from Guardant’s COVID-19 U.S. Vaccination Policy as a reasonable accommodation, as consistent with applicable laws.  An employee is considered fully vaccinated against COVID-19 two weeks after receiving the second dose of a two-dose vaccine or one dose of a single-dose vaccination. Acceptable vaccines are approved or under emergency use authorization by the U.S. Food and Drug Administration (FDA) and/or the World Health Organization (WHO). In addition, fully-vaccinated employees will be required to maintain their fully-vaccinated status under this policy by obtaining, if applicable, any FDA-approved boosters.

Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.

Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

All your information will be kept confidential according to EEO guidelines.

To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our Privacy Notice for Job Applicants.

Please visit our career page at: http://www.guardanthealth.com/jobs/

#LI-JL1, #LI-HYBRID

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Contact Information
Contact Name:
Company Name: Guardant Health
Website:https://www.smartrecruiters.com/GuardantHealth/2198578970
Company Description:

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