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Reimbursement, Reimbursement Specialist (Medical Records Focus)

$46k - $47.28k

Stryker Corporation

Reimbursement Specialist (Medical Records Focus) Castle Biosciences Inc. is growing, and we are looking to hire a Reimbursement Specialist (Medical Records Focus) working remotely from your home office based in the USA, with a start date of August 31, 2026. Salary & Benefits Salary Range: $46,000.00 - $47,277.00. Final salary is based on experience and education levels. Excellent annual salary + 20% bonus potential. 20 accrued PTO days annually + 10 paid holidays. 401K with 100% company match up to 6%. 3 health care plan options + company HSA contribution. Company stock grant upon hire. Day In The Life This individual is responsible for resolving insurance claims for laboratory test services that require medical record documentation by requesting records from clinician offices, following up on those requests, and submitting complete medical records to payers based on their requirements, medical policy, or state laws, while providing the highest level of customer service to internal and external customers. This role spends most of its time communicating with ordering clinicians and their staff via phone, fax, and email to obtain the necessary patient medical records, analyzing received records to ensure all required documentation is included, and securing any missing information. Additional responsibilities include preparing medical record cover letters and submitting documentation to demonstrate medical necessity or compliance with medical policy criteria. When needed, this individual creates custom submission letters with arguments that support claim processing according to payer policy, state laws, or Medicare regulations, and contacts patients, physician offices, or sales to gather any remaining required information. Requirements 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 laboratory tests. Must have a working knowledge of various payers' designations of authorized representative forms. Experience handling a high volume of claims work on a daily basis (35 or more claims per day). Must demonstrate the ability to type 35 WPM with 90% or higher accuracy. Schedule Monday - Friday, 8:00 AM to 5:00 PM, non‑exempt position, working remotely from your home office based in the USA. Work Authorization All candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H‑1B visas, OPT, or employment‑related visas. 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 View email address on click.appcast.io. #J-18808-Ljbffr Stryker Corporation

Vacancy posted 1 day ago
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