Financial Clearance Specialist

CareDx, Inc.

14h • $24 - $34

About The Position

The Financial Clearance Specialist ensures timely and accurate financial clearance of patient accounts, primarily by verifying eligibility, resolving missing claim elements, and submitting clean claims to insurance companies. The role requires meticulous attention to detail and the ability to work in a fast-paced environment.

This is a full-time, Monday-through-Friday position, with occasional overtime as needed. Candidates within commuting distance of the Brisbane, California office are expected to work from the office regularly; remote candidates work and collaborate from home. The role is limited to candidates in the United States.

Requirements

• High school diploma or equivalent.
• At least 2 years of experience in medical billing or financial clearance.
• 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.

Nice To Haves

• Experience with laboratory billing software, including Telcor, Xifin, or Quadax.

Responsibilities

• Review patient insurance coverage and benefit eligibility for laboratory services.
• Communicate with CareDx teammates, clinics, patients, and insurance companies to verify coverage and resolve discrepancies.
• Document eligibility information accurately in the revenue cycle management system.
• 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.
• Perform other duties as assigned.

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 providing up to 30 days of paid leave annually to a full-time employee who donates an organ or bone marrow.
• The role may be eligible for discretionary bonuses or incentives and restricted stock units.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED