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Senior Reimbursement Specialist - Order Entry (Tuesday - Saturday 9:00 AM PST - 6:00 PM PST)
Pay$24.15 - $33.22 / hour
LocationPalo Alto/California
Employment typeFull-Time
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Job Description
- Req#: 744000052096795
Employer Industry: Precision Oncology
Why consider this job opportunity:
- Salary up to $33.22 per hour
- Opportunity for career advancement and growth within the organization
- Hybrid work model offering flexibility for remote work and in-office collaboration
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and financial health of the organization
What to Expect (Job Responsibilities):
- Lead the accurate entry of incoming demographics into the billing tool and ensure timely claims submissions using the HCFA 1500 form or electronic equivalent
- Serve as a primary escalation point for complex claims issues and front-end denials, working directly with payer portals to resolve issues
- Perform comprehensive eligibility verification and coordination of benefits to ensure claims accuracy prior to submission
- Provide expert-level reimbursement guidance and support to patients, demonstrating empathy and professionalism
- Collaborate with cross-functional teams to support initiatives related to payer engagement and process improvements
What is Required (Qualifications):
- 3-6 years of recent experience in high-volume professional and/or facility billing and reimbursement
- Proven ability to handle complex payer issues and escalated reimbursement inquiries with minimal oversight
- Strong proficiency in billing platforms and payer portals; experience with laboratory billing systems preferred
- Excellent written and verbal communication skills, with the ability to interact effectively with internal teams and external partners
- High school diploma or equivalent required; additional coursework or certifications in medical billing or revenue cycle operations a plus
How to Stand Out (Preferred Qualifications):
- Strong experience with Salesforce or similar CRM
- High level of comfort with Excel and Microsoft Office Suite; ability to analyze data and create process reports
- Demonstrated ability to work both independently and collaboratively to meet deadlines and exceed performance targets
#PrecisionOncology #HealthcareBilling #CareerOpportunity #HybridWorkModel #CustomerSupport
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
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