What are the responsibilities and job description for the Reimbursement, Reimbursement Specialist (Medical Records Focus) (Remote) position at Castle Biosciences?
Job Description
Job Description
Castle Biosciences Earns a Top Workplaces USA Award for the Third 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 Reimbursement Specialist (Medical Records Focus) working remotely, with a preferred start date of February 16, 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 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 Reimbursement Specialist (Medical Records Focus),
This individual is responsible for resolving claim errors, communicating with clinicians and patients regarding medical records and appeals, and providing payers with requested or additional documentation to secure the highest level of reimbursement in a molecular diagnostic laboratory setting. They request relevant medical records from clinician offices, ensure appropriate documentation is received, and conduct follow-ups when necessary. Additionally, they review medical records for key details and create custom medical records and appeal cover letters. The role also involves making outbound calls to patients regarding consent appeal requirements and effectively communicating the reimbursement process. They review insurance denials, analyze insurance company medical policies, and submit custom appeal letters accordingly.
REQUIRED QUALIFICATIONS
- High School Diploma or equivalent GED or equivalent work experience.
- Two years of health insurance billing with experience in identifying and resolving claim issues for procedures / tests
- working knowledge of various payer's designations of authorized representative forms
- Experience handling a high volume of claims work on a daily basis (30 plus denials for claims per day)
- Experience reviewing medical records, extracting key details, and populating custom medical records submissions to payers.
- Proficient in Microsoft Excel, Word, and Outlook
- Strong analytics and problem-solving skills
- Excellent customer service skills
- Typing speed of 30 or more words per minute, with 90% or greater accuracy.
- One year minimum experience as a reimbursement specialist, with a role with one company.
- Please see the attached job description for additional roles, responsibilities, and requirements.
TRAVEL REQUIREMENTS
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 / Veterans / Disabled.
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veterans' status and will not be discriminated against on the basis of disability.
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.
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