Reimbursement SpecialistBrisbane, CA

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 Insurance Reimbursement Specialist is to maximize reimbursement by collecting outstanding balances from insurance companies. The Specialist will maximize collections by following up on unresolved claims and appeals, and by escalating claims for reconsiderations and up to three levels of appeals. The Specialist will work closely with the CareDx Payer Dispute Resolution and Market Access teams to ensure CareDx receives 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 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 Resolve aged claims and appeals without payer responses via payer portals and outbound phone calls. Identify claims that need a first, second, or third level appeal. Assist teammates with projects and denial work queue management. Prioritize an assigned work queue to ensure timely work is balanced with working the most payable claims. Identify non‑payment trends and, in collaboration with Revenue Cycle leadership, escalate groups of claims to the CareDx Payer Dispute Resolution or Market Access teams. Investigate denial and non‑payment trends identified by the Revenue Cycle Analytics team. Propose solutions and collaborate cross‑functionally with the Denials Management Steering Committee. Share opportunities to improve upstream work to prevent denials. Work with patients when their assistance is needed in the appeal process. Work professionally with Revenue Cycle teammates to be responsive to requests that require your assistance. Qualifications Education: High school diploma or equivalent. Experience: 3‑5 years’ experience in medical billing; strong preference will be given to candidates with molecular laboratory billing experience. Medical billing experience may be substituted with a bachelor's degree. Understanding of patient protections under HIPAA and proper handling of protected health information (PHI). Working knowledge of health insurance and terminology. Excellent communication and people skills. Meticulous with strong analytical and problem‑solving abilities. Benefits Competitive base salary and incentive compensation Health and welfare benefits, including a gym reimbursement program 401(k) savings plan match Employee Stock Purchase Plan Pre‑tax commuter benefits Living Donor Employee Recovery Policy – up to 30 days of paid leave annually for a full‑time employee who donates an organ or bone marrow This is the anticipated base salary range in the United States. The final salary offered to a successful candidate will be dependent on several factors that may include, but are not limited to, the type and length of experience within the job, the type and length of experience within the industry, education, etc. Base pay is one part of the total package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives and restricted stock units. Remote: US only roles

$26 – $33 USD

CareDx, Inc. is an Equal Opportunity Employer and participates in the E‑Verify program. #J-18808-Ljbffr CareDx, Inc.