Reimbursement Specialist II

Guardant Health

. Drive payment for Guardant Health’s services while working with its billing tool provider .

Posted 10/8/2026full-timeSpring • Texas • United StatesMid-LevelSenior💰 $23 - $31 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in billing processes, insurance claims management, and reimbursement assistance while ensuring compliance with HIPAA guidelines. Proficient in handling complex claims, optimizing operations, and providing superior customer service in a healthcare environment.

Highest-signal resume keywords

Professional CodingBilling and CollectionsInsurance Claims ManagementEOB InterpretationMS Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Professional CodingBillingCollectionsClaims TrackingEOB InterpretationData EntryBasic Math SkillsReimbursement AssistanceInsurance Eligibility VerificationCustomer Service

Soft Skills

Problem SolvingTeam CollaborationCommunicationIndependenceConflict Resolution

Tools & Technologies

XifinEDI EnrollmentPayer PortalsBilling ToolMerchant Solutions

Industry Keywords

MedicareMedicaidHIPAA ComplianceInsurance CarriersPayer Communication

About the role

Key responsibilities & impact

Drive payment for Guardant Health’s services while working with its billing tool provider
Partner with Finance and Client Services to optimize billing processes and operations
Track, report, and address complex outstanding claims
Troubleshoot EOBs and appeal non-covered and low-pay claims
Follow up on claims and drive positive coverage determinations through external appeals
Manage documentation for payer communication, correspondence, and insurance claim research
Accurately enter information into computer systems and annotate accounts
Provide reimbursement assistance and superior customer service to patients and families
Resolve most patient concerns or complaints without escalation
Verify and communicate insurance eligibility, billing, collections, and payment responsibilities
Interpret EOBs for follow-up and appeals
Follow HIPAA guidelines when providing medical records to providers, insurers, and patients
Work independently and in a team environment to accomplish set goals
Perform other related duties as assigned

Requirements

What you’ll need

Minimum 3–5 years recent experience in professional and facility coding, billing, and collections with high volume and/or multiple accounts
Experience contacting and following up with insurance carriers on denials, reconsideration requests, formal appeals, and negotiations
Experience with broad range of payers and appeals to state-level agencies or external-level review with IRO/IRBs
Experience working with Medicare and Medicaid
Basic math skills to accurately interpret payment and adjustment transactions and understand EOBs
Proficiency using computers and data entry, with above-average typing skills
Intermediate to advanced MS Office, including Excel
Familiarity with laboratory billing, Xifin, EDI enrollment, merchant solutions, payer portals, and national and regional payers is a plus
High school diploma or equivalent
Ability to sit for extended periods
Background screening including criminal history is required

Benefits

Comp & perks

Hybrid work model with work-from-home days for individual-focused time
Reasonable accommodations for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs