Remote Reimbursement & Appeals Specialist

CareDx; San Francisco (CA); Hybrid; USD 39,000 - 50,000; Full time

Benefits offered by this job

Health and welfare benefits

Gym reimbursement

Living Donor Employee Recovery Policy

Paid organ donation leave

Job summary

CareDx, a leader in precision medicine diagnostics, is seeking an Insurance Reimbursement Specialist to maximize collections by pursuing unpaid claims and managing multi-level appeals. This full-time role is based in Brisbane, CA, with some remote collaboration for eligible candidates.

You will work with payer portals, coordinate with the Revenue Cycle team, and support denial management while maintaining HIPAA guidelines and patient privacy.

Qualifications

• Education: High school diploma or equivalent.
• Experience: 3-5 years in medical billing; molecular lab billing experience preferred; bachelor’s degree may substitute.
• Understanding of HIPAA and PHI handling.
• Working knowledge of health insurance terminology.

Responsibilities

• Resolve aged claims and appeals via payer portals and outbound calls.
• Identify claims needing first/second/third level appeals.
• Assist teammates with projects and denial work queue management.

Skills

Medical billing

HIPAA knowledge

Communication skills

Analytical skills

Problem solving

Education

High school diploma or equivalent

Job description

CareDx, a leader in precision medicine diagnostics, is seeking an Insurance Reimbursement Specialist to maximize collections by pursuing unpaid claims and managing multi-level appeals. This full-time role is based in Brisbane, CA, with some remote collaboration for eligible candidates.

You will work with payer portals, coordinate with the Revenue Cycle team, and support denial management while maintaining HIPAA guidelines and patient privacy.