[Hiring] Financial Clearance Specialist @CareDx, Inc.

Role Description

The primary responsibility of the Financial Clearance Specialist is to ensure timely and accurate financial clearance of patient accounts. The Specialist will primarily focus on eligibility verification, resolving missing claim elements, and ensuring timely submission of clean claims to insurance companies. 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:

• Eligibility Verification:
  • Conduct thorough reviews of patient insurance coverage and benefit eligibility for laboratory services.
  • Communicate with CareDx teammates, clinics, patients, and insurance companies to verify coverage details and resolve any discrepancies.
  • Accurately document eligibility information in the revenue cycle management system.
• Claim Error Processing:
  • Efficiently analyze and resolve claim errors identified by the revenue cycle management system, including coding and billing discrepancies.
  • Collaborate with teammates to resolve errors and ensure compliance with policies and procedures.
  • Understand and resolve discrepancies related to medical necessity.
• Other duties as assigned.

Qualifications

• High school diploma or equivalent.
• Minimum of 2 years of experience in a medical billing or financial clearance role.
• Understanding of patient protections under HIPAA and proper handling of protected health information (PHI).
• Working knowledge of insurance policies, billing procedures, and claim terminology.
• Excellent communication and people skills.
• Detail-oriented with strong analytical and problem-solving abilities.
• Preference will be given to qualified candidates with experience with laboratory billing software, including Telcor, Xifin or Quadax.

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 allowing up to 30 days of paid leave annually for organ or bone marrow donation.
• And more!

Company Description

CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. Through our innovative portfolio of molecular diagnostics, digital health solutions, AI-powered data and analytics, and patient support services, we partner with healthcare providers, patients, and biopharma organizations to help inform clinical decision-making and improve patient outcomes.

Every individual at CareDx has a direct impact on our collective mission to improve the lives of organ transplant patients worldwide. We believe in taking great care of our people, so they take even greater care of our patients.

With products that are making a difference in the lives of transplant patients today and a promising pipeline for the future, it’s an exciting time to be part of the CareDx team. Join us in partnering with transplant patients to transform our future together.