Reimbursement Coordinator

About this role

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.

The primary responsibility of the Reimbursement Coordinator is to maximize reimbursement by compiling and submitting packets of appeals and medical records to insurance companies via payer portals, fax, and mail. The Coordinator will assist in following up on submissions to ensure receipt. The Coordinator will work with the CareDx Payer Dispute Resolution and Market Access teams to ensure CareDx receives broad coverage and appropriate reimbursement from contracted and non-contracted payers and government health plans.

This role requires meticulous work and the ability to thrive in a fast-paced, high volume environment. This is a full-time position, Monday through Friday, with occasional overtime as needed. Candidates within commuting distance of the Brisbane, California office will need to come to the office on a regular basis; remote candidates will work and collaborate from home.

Responsibilities:

• Medical record and appeal packet submission:

• Find relevant patient records in CareDx system and attach a cover letter or appeal letter.

• Log in to a payer portal and accurately fulfill medical record requests or submit an appeal using the completed packet and completing any required portal information.

• Work with patients when their assistance is needed in the appeal process, including obtaining appointments of representative (AORs) from patients.

• Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.

Medical Record and Appeal Follow-up:

• Resolve aged medical record and appeal submissions without payer responses via payer portals & outbound phone calls.

• Assist teammates with projects and denial work queue management.

Qualifications:

• Education: High school diploma or equivalent.

• Experience: 6-12 months’ experience in medical billing or medical records.

• Typing speed of at least 50 words per minute.

• Understanding of patient…