Reimbursement Specialist - RCM Admin

CareDx, Inc. is a leading precision medicine solutions company focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients and caregivers. CareDx offers products, testing services, and digital healthcare solutions along the pre- and post-transplant patient journey, and is the leading provider of genomics-based information for transplant patients.

Day-to-Day Responsibilities:

Duties include working with other departments, answering phones, distributing calls, and resolving inquiries from external providers, patients, and other departments. Processing incoming and outgoing mail. This position promotes the efficient processing of claims and ensures inquiries are resolved in a timely manner.

• Sort and distribute incoming mail 
• Prepare outgoing mail (claim packages, patient statements, patient letters)
• Communicate with providers regarding verification of patient and insurance demographic information
• Answers phone calls and patient questions or connect with correct team for resolution
• Process Financial Assistance requests and provide outcome to patients
• Answer questions from other departments, patients, or provider office
• Interfaces with other departments, external providers, or clients, as may be required, to resolve errors
• Provides support in all areas of the Department
• Coordinates activities with other team members to insure timely distribution of work 
• Participates in administrative staff meetings and attends other meetings and trainings
• Assist in the evaluation of reports, decisions, and results of the department in relation to established goals
• Recommends innovative approaches, policies, and procedures to effect continual improvements in the efficiency of department and services performed
• Serves as a member of the Front-End Team. Performs duties necessary to ensure the team's projects/goals are completed
• Takes ownership of special projects, research data, and follows through with detailed action plans
• Performs other related duties as required and assigned

Qualifications:

• License/Certification/Education: Requires a High School Diploma or equivalent
• Working Knowledge of denials, adjustments, and Third-Party Operations and/or Analysis
• Strong analytical skills and ability to manipulate data in Microsoft Excel
• Ability to work independently with minimal supervision
• Must be able to analyze, summarize and provide detail of findings when needed
• Ability to problem-solve an issue to determine the root cause
• Diagnostic laboratory experience is recommended
  

Additional Details:

Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.

Our competitive Total Rewards package includes:

• Competitive base salary and incentive compensation
• Health and welfare benefits including a gym reimbursement program
• 401(k) savings plan match
• Employee Stock Purchase Plan
• Pre-tax commuter benefits
• And more!

In addition, we have a Living Donor Employee Recovery Policy that allows up to 30 days of paid leave annually to a full-time employee who makes the selfless act of donating an organ or bone marrow.

With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it is an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together.

CareDx, Inc. is an Equal Opportunity Employer and participates in the E-Verify program.

By proceeding with our application and submitting your information, you acknowledge that you have read our U.S. Personnel Privacy Notice and consent to receive email communication from CareDx.

*We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.