Remote Reimbursement & Prior Authorization Supervisor

Guardant Health; United States; Hybrid; USD 80,070 - 110,075; Full time

Job summary

Guardant Health is seeking a Supervisor, Reimbursement Prior Authorization to drive payment for services and optimize billing operations. You will lead the authorization team, ensure timely documentation, and collaborate with Finance and Client Services to align with company goals.

The role requires strong leadership, HIPAA compliance, and knowledge of payer requirements. This is a hybrid position with a remote-open stance across the USA and a base pay range outlined in the compensation section.

Qualifications

• Minimum 3 years of healthcare revenue cycle management experience.
• At least 1 year of leadership experience.
• Excellent leadership and team management skills.
• Knowledge of medical terminology, CPT and ICD coding.
• Experience with contacting insurance carriers, file reconsideration requests, appeals, and negotiations.
• Proficiency with Microsoft Excel and data analysis.
• Familiarity with Xifin, Telcor and payer portals is a plus.

Responsibilities

• Serve as the knowledge expert and information source for staff and stakeholders.
• Ensure compliance with contract requirements, policies, procedures, and standards.
• Monitor authorization requests inventory for resource allocation.
• Maintain knowledge of contract requirements, policies, procedures, and standards.
• Assist in the reimbursement appeals process with documentation/tracking.
• Identify process improvements within authorization request workflows.
• Provide coaching to staff to meet productivity and documentation goals.
• Monitor risks and develop action plans with leadership.
• Support onboarding, hiring, and training of staff; update job aids.

Skills

Leadership

Communication

Attention to detail

CPT/ICD coding

Excel

Payer portals

Education

High school diploma or equivalent

Tools

Xifin

Telcor

Microsoft Office

Job description

Guardant Health is seeking a Supervisor, Reimbursement Prior Authorization to drive payment for services and optimize billing operations. You will lead the authorization team, ensure timely documentation, and collaborate with Finance and Client Services to align with company goals.

The role requires strong leadership, HIPAA compliance, and knowledge of payer requirements. This is a hybrid position with a remote-open stance across the USA and a base pay range outlined in the compensation section.