Reimbursement Coordinator

About this role

<div class="content-intro"><p><span style="font-family: times new roman, times, serif;"><span style="font-size: 16px;"> </span></span></p></div><p><span style="font-family: 'times new roman', times, serif; font-size: 12pt;">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.</span></p> <p> </p> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">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.</span></p> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">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.</span></p> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>Responsibilities:</strong></span></p> <ul> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Medical record and appeal packet submission:</span></li> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Find relevant patient records in CareDx system and attach a cover letter or appeal letter.</span></li> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">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.</span></li> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Work with patients when their assistance is needed in the appeal process, including obtaining appointments of representative (AORs) from patients.</span></li> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance.</span></li> </ul> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>Medical Record and Appeal Follow-up:</strong></span></p> <ul> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Resolve aged medical record and appeal submissions without payer responses via payer portals & outbound phone calls.</span></li> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Assist teammates with projects and denial work queue management.</span></li> </ul> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>Qualifications:</strong></span></p> <ul> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Education: High school diploma or equivalent.</span></li> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Experience: 6-12 months’ experience in medical billing or medical records.</span></li> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Typing speed of at least 50 words per minute.</span></li> <li style="font-size: 12pt; font-family: 'times new roman', times, serif;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Understanding of patient…