Reimbursement Specialist II - Pre Billing

As a Reimbursement Specialist II, Payment Posting, you are a seasoned expert within the revenue cycle team, driving impact through deep knowledge of insurance processes, payer policy, and driving payment for our services. You play a key role in partnering with colleagues in Finance and Client Services while maximizing reimbursement outcomes for the organization. You will facilitate optimized billing processes and operations that are aligned with Guardant Health’s mission and values.You will independently manage posting cash receipts and EOBs in the billing tool and ensure that daily cash from the lockbox is reconciled to patient accounts efficiently and accurately. With your extensive background in healthcare billing and payer engagement, strong attention to detail is critical. Strong communication and troubleshooting skills are required to manage unbalanced remittance advice directly with payers.You’ll help build and maintain comprehensive documentation of payer requirements and support process improvement initiatives that increase efficiency and effectiveness across the department.Key Responsibilities:Analyze and interpret details from EOB/ERA files to ensure accurate posting of payments and adjustments against appropriate line-item service in a timely manner.Posting all denied charges for appeals department In-depth knowledge of healthcare remark/ reason codes, advice codes, and definitionsFamiliarity with credits, debits, adjustments, takebacks, patient responsibility, allowed amounts, deductibles, co-pays, and coinsuranceUnderstanding of denied charges, denial reasons, and claims adjudication processesAllocating Patient Payments to the appropriate account in a timely mannerManage credit card transactions including credits, refunds, and chargebacksReconciling all bank transactions while meeting monthly deadlinesDaily, monthly, quarterly, and annually reconcile credits and debit transactions received by the financial institution.Manage incoming correspondence from various channels (fax, email, portal) and associate them with the relevant patient/insurance records.Communicate effectively with cross-functional teams to identify and address inefficiencies impacting ASP and claims adjudication processes.Investigate and resolve credit balances, missing payments, payment allocations or discrepancies related to claims/appeals.