Supervisor, Reimbursement - Follow Up & Appeals

About the Role:As a Supervisor, Reimbursement - Follow Up & Appeals, you play an important role in the overall success of the company and oversight to a dedicated team of Individual Contributors. This role is pivotal in driving sustainable improvements in Average Sale Price (ASP) and overall revenue cycle performance by leading, mentoring, and optimizing processes within the Department. The role requires a collaborative, proficient in data analysis, process optimization, and cross-functional coordination, committed to maintaining high standards in claim adjudication and fostering a culture of continuous quality enhancement.You will facilitate optimized billing processes and operations that are aligned with Guardant Health’s mission and values. You are responsible for facilitating efficiency improvements such as: Claims and Appeal Follow-up, EDI/ERA/EFT enrollments, lockbox improvements, eligibility validations, and provider payer portal registration properly and timely. This includes managing day-to-day activities and provides guidance to the team to ensure accurate and timely documentation for services related to the members claim and/or appeal. You will be expected to be knowledgeable of, and be able to perform, the duties of the staff supervised. Strong communication and troubleshooting skills are required.Essential Duties and Responsibilities:Serve as the subject matter expert and primary resource for staff and stakeholders on compliance processes, regulations, and issues, providing guidance and clarity.Collaborate with Revenue Cycle Manager Leadership to proactively audit claims and collections across all third-party payers—including Medicare, managed care, commercial insurance, and patient payments—to ensure accuracy and maximize cash flow.Assure maximization of cash collections through organized, diligent and timely focused monitoring of all open accounts’ receivable balances.Analyze reimbursement data from various sources, review carrier exception reports, and follow up on pending claims and denials, presenting findings to leadership and developing action plans to mitigate risks.Prepare comprehensive reports on billing activities, accounts receivable metrics, bad debt expenses, and days outstanding to support continuous process improvements.Conduct audits of billing records to verify data accuracy and completeness, including payment posting and contractual adjustments.Assist in developing and maintaining department Standard Operating Procedures (SOPs) aligned with CLSI guidelines, ensuring staff adherence to policies and deadlines.Evaluate key performance indicators (KPIs), provide performance feedback, and support staff development and coaching for accurate documentation and timely claim submissions.Facilitate onboarding, training, and updates to training materials, workflows, and change management strategies to foster an efficient, compliant revenue cycle environment.Follow HIPAA and other regulatory guidelines diligently to protect patient information and ensure confidentiality.Performs other related duties as assigned to support the overall efficiency of the department