Reimbursement, Customer Service Specialist (Remote)

Castle Biosciences Earns a Top Workplaces USA Award for the Fourth Consecutive Year!

You won't find a work culture and benefits package like ours every day. Come join our team and a group of colleagues who love working at Castle!

Castle Biosciences Inc. is growing, and we are looking to hire a Customer Service Specialist working remotely from your home office based in the USA, with a start date prior to June 12, 2025.

We are in search of someone who strives for excellence in their work with a positive, can-do attitude! If this sounds like the right opportunity for you in the essential biotech field, consider applying today! Learn more at www.CastleBiosciences.com

EXCEPTIONAL BENEFIT PACKAGE

Excellent Annual Salary Achievable Annual Bonus Potential of 20% of Salary 20 accrued PTO Days annually

401K with a 100% Company match of up to 6% of your allowable Contribution, and No Waiting Period

3 health care plan options, with very low premium cost Company HSA Contribution with HDHP option Company Stock Grant Upon Hire

A DAY IN THE LIFE OF A Customer Service Specialist,

This individual is responsible for answering incoming telephone and email inquiries while providing the highest level of customer service to both our internal and external customers. They provide backup support for submission of claims, and follow-up, provide payers with requested/additional documentation, and secure the highest level of reimbursement. This role primarily involves answering incoming telephone and email inquiries from patients, clinicians, insurance plans, and area sales managers. They assist with insurance billing-related questions, educate callers on our reimbursement process, billing policy, and need for required documentation for appeals, and ease any concerns. They place outgoing calls or emails to patients, physician offices, and/or sales for required information. They review and resolve front-end claim issues for timely and accurate claim submission, review EOBs and electronic remittance advices, denial letters, assign appropriate ANSI codes, and take necessary action in the billing system. They place calls to insurance companies to obtain missing information and/or determine the status of submitted claims as needed. They utilize payer portals or place follow-up calls to payers for claim status, post insurance, client, and patient payments, and take necessary action in the billing system. They provide additional documentation to payers when requested to fully adjudicate claims, review and submit medical records to provide proof of medical necessity/criteria to payers, investigate, evaluate, and report payer trends to identify opportunities for process improvement. They are responsible for working various billing-related work queues in the billing system and identifying and reporting changes to insurance company processing requirements.

REQUIREMENTS

• Minimum Requirements
  • Minimum of three years of customer service experience, preferably in a call center environment
  • Minimum of two years of health insurance billing with experience in identifying and resolving claim issues
  • Experience collaborating with patients, providers, and insurance plans throughout the billing cycle
  • Experience researching and utilizing payor websites
  • Certification in Medical Billing and/or Coding or equivalent experience
  • Must demonstrate the ability to type 35 WPM with 90% or higher accuracy.
  • Actively displays behaviors that support the mission, vision, and values of Castle Biosciences.

*Please see the attached job description for additional roles, responsibilities, and requirements.

TRAVEL REQUIREMENTS

• <5% as needed for training and meetings.

SCHEDULE

• Monday - Friday, 8:00 AM to 5:00 PM, non-exempt position, working remotely from your home office based in the USA.

READY TO JOIN OUR BIOTECH TEAM?

We understand your time is valuable, and that is why we have a very quick and easy application process. If you feel that this would be the right position for you, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!

ABOUT CASTLE BIOSCIENCES INC.

At Castle, it all comes down to people. After all, disease doesn't just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person's unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes.

Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of trust, transparency, and collaboration. We prioritize and encourage internal growth and professional development.

If you are interested in making a difference in the lives of patients while doing something that inspires you, Castle may be the right place for you. Castle Biosciences was ranked #188 by the Financial Times in 2023 as one of Americas' Fastest-Growing Companies.

Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities

If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail ReasonableAccommodationsRequest@castlebiosciences.com.

This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.

** No third-party recruiters, please

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