Supervisor, Reimbursement – Pre-Billing

🔥 12 minutes ago

🇺🇸 United States – Remote

💵 $80.1k - $110.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

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Guardant Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Biotechnology • Healthcare Insurance • Pharmaceuticals

Guardant Health is a precision oncology company that specializes in using blood tests to revolutionize cancer care. Their innovative tests provide critical insights that help inform treatment decisions for patients across all stages of cancer. By leveraging advanced technology and data, Guardant Health aims to improve clinical outcomes and enhance the overall patient experience in the fight against cancer.

📋 Description

• Oversee daily front-end revenue cycle operations, including patient registration, billing data entry, insurance verification, eligibility validation, and financial case management workflows • Supervise intake triage operations, including incoming calls, emails, escalations, correspondence, and issue resolution support • Ensure accurate review and processing of patient demographics, insurance information, diagnosis codes, associated documentation, and payer selection prior to claim submission • Monitor operational queues, productivity, quality metrics, and departmental SLAs to support timely workflow completion and clean claim readiness • Support front-end denial prevention efforts by identifying and resolving eligibility discrepancies, payer issues, registration inaccuracies, and front-end claim edits or rejections • Provide leadership oversight and workflow support for on-site and offshore/BPO operational teams • Serve as a subject matter expert for payer interpretation, insurance verification workflows, payer portals, Medicare, Medicaid, commercial plans, IPA routing, and self-pay processes • Manage escalated operational issues and collaborate with cross-functional departments to support reimbursement readiness and workflow resolution • Audit front-end operational activities to ensure compliance with payer requirements, internal workflows, and documentation standards • Monitor payer trends, workflow gaps, and reimbursement-related issues to support continuous operational improvement initiatives • Partner with Training, Quality, Systems, Prior Authorization, Post-Billing, and Revenue Cycle Leadership teams to improve workflow efficiency, operational performance, and staff development • Coach, mentor, and support employees

🎯 Requirements

• Associate’s (Bachelor’s preferred) degree in related fields such as healthcare administration, business administration, or engineering is preferred, but directly related healthcare revenue cycle experience may be considered in lieu of a degree. • Minimum of 5 years of healthcare revenue cycle experience required in front-end/pre-billing workflows. • Proven leadership experience, with a minimum of 2 years of experience supervisory teams, including people managers and/or offshore (BPO) operations. • Strong working knowledge with healthcare reimbursement systems, (e.g., Salesforce, eligibility platforms, clearinghouses), Xifin, Telcor, and national as well as regional payers throughout the US are a plus. • Experience supporting offshore/global operational teams and high-volume production environments strongly preferred. • Strong analytical and problem-solving skills with the ability to identify workflow trends, operational gaps, denial drivers, and process improvement opportunities. • Proficiency with Microsoft Office Suite required, particularly Microsoft Excel, reporting tools, and general computer navigation; strong typing and documentation accuracy skills required. • Excellent verbal and written communication skills with the ability to effectively collaborate across operational departments, leadership teams, providers, patients, insurance carriers, and external business partners. • Demonstrated ability to manage multiple priorities in a fast-paced operational environment while maintaining strong attention to detail, quality, and service excellence.

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options • Professional development opportunities