Guardant Health, a leader in precision oncology and blood-based cancer testing, is offering an excellent remote job opportunity for a Reimbursement Specialist I focusing on Prior Authorization. This full-time position offers competitive hourly pay ranging from $20.53 to $28.24, making it perfect for healthcare professionals seeking meaningful work from home.
As a Reimbursement Specialist, you will manage all documentation related to payer communication and work on prior authorization processes that help ensure patients can access the cancer screening and diagnostic tests they need. This role is critical in bridging the gap between cutting-edge medical technology and patient access to care.
Guardant Health is at the forefront of cancer detection technology, and this position allows you to contribute to their mission while enjoying the flexibility of remote work. The company responds quickly to applicants, often within one day, demonstrating their commitment to building a strong team.
Key Responsibilities
- Manage all documentation related to payer communication
- Process and track prior authorization requests
- Work with state and external review organizations (IROs/IRBs)
- Handle appeals processes for denied claims
- Coordinate with insurance companies and healthcare providers
- Ensure compliance with payer requirements and timelines
- Maintain accurate records of all authorization activities
- Support patients in navigating the insurance approval process
Requirements
Professional Experience
- Prior experience in healthcare reimbursement or prior authorization
- Experience with appeals at state and external review organizations (IROs/IRBs) is a plus
- Background in medical billing or healthcare administration preferred
Technical Skills
- Proficiency with healthcare management systems
- Knowledge of insurance verification processes
- Understanding of medical coding and terminology
- Strong computer and documentation skills
Soft Skills
- Excellent attention to detail
- Strong organizational abilities
- Effective communication skills for payer interactions
- Problem-solving mindset for complex authorization cases
- Ability to work independently in a remote environment
Benefits & Perks
Guardant Health offers a comprehensive benefits package reflecting their status as a leading healthcare technology company.
- Competitive Pay – $20.53 to $28.24 per hour based on experience
- Remote Work – Full work-from-home flexibility
- Health Insurance – Medical, dental, and vision coverage
- 401(k) Plan – Retirement savings with company benefits
- Paid Time Off – Generous vacation and sick leave
- Career Growth – Opportunities within a rapidly growing healthcare company
- Mission-Driven Work – Contribute to advancing cancer detection and treatment
- Professional Development – Training and advancement opportunities
About Guardant Health
Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The company’s oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum.
Guardant Health has developed liquid biopsy tests that can detect cancer through a simple blood draw, revolutionizing how cancer is detected and monitored. By joining Guardant Health, you become part of a team that is transforming cancer care and saving lives through innovative technology.
The Reimbursement Specialist Role in Today’s Remote Work Market
Healthcare reimbursement specialists are in high demand as the medical industry continues to navigate complex insurance landscapes and prior authorization requirements. Remote positions in this field have grown significantly, offering healthcare administrators the opportunity to work from home while contributing to patient care and access.
Salaries for Reimbursement Specialists typically range from $18 to $30 per hour depending on experience and specialization. Positions at innovative healthcare companies like Guardant Health often offer premium compensation and the opportunity to work with cutting-edge medical technology, making them particularly attractive for career growth in the healthcare administration field.
Insider Tips for Applicants
Highlight Your Prior Authorization Experience
If you have experience specifically with prior authorization processes, appeals, or working with insurance review organizations, make sure this is prominently featured in your application. Experience with appeals at IROs and IRBs is specifically mentioned as a plus for this role.
Demonstrate Healthcare Industry Knowledge
Show your understanding of the healthcare reimbursement landscape, including payer requirements, medical necessity documentation, and the appeals process. Familiarity with oncology or diagnostic testing services would be particularly relevant for this position at Guardant Health.
Emphasize Your Remote Work Readiness
As a fully remote position, demonstrate that you have experience working independently, managing your time effectively, and maintaining productivity without direct supervision. A dedicated home office setup and reliable technology are essential for success in this role.
Frequently Asked Questions
What does a Reimbursement Specialist do at Guardant Health?
A Reimbursement Specialist at Guardant Health manages prior authorization processes, handles documentation for payer communications, and works on appeals for denied claims. The role involves ensuring patients can access Guardant Health’s cancer screening and diagnostic tests by navigating insurance requirements and approval processes.
Is healthcare experience required for this position?
While the job listing mentions that experience with appeals at state and external review organizations is a plus, some healthcare reimbursement or prior authorization experience is expected. Background in medical billing, healthcare administration, or insurance verification would be beneficial for success in this role.
What is the salary range for this position?
The position offers hourly pay ranging from $20.53 to $28.24, which translates to approximately $42,700 to $58,700 annually for full-time work. Actual compensation depends on factors such as experience, qualifications, and geographic location within company guidelines.
At F5 Remote Jobs, our mission is to connect talented professionals from around the world with the best remote job opportunities offered by top companies in the United States. In an increasingly digital world, we believe the future of work lies in flexibility and the ability to work from anywhere.