Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Revenue Cycle Management, Prior Authorization, Team Management, Medical Terminology, CPT Coding
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Customer Support, Salesforce.com, Microsoft Office, Troubleshooting, KPI Management
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Data Privacy, Compliance, Privacy Impact Assessments, Data Mapping, Incident Response
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Professional Communication, Customer Relationship Management, Problem Solving, Data Entry, Multitasking
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Business Development, Strategic Partnerships, Precision Oncology, Molecular Diagnostics, Genomics
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Assay Development, NGS Technologies, Molecular Biology, Data Analysis, Python
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Reagent Manufacturing, Kit Assembly, Good Manufacturing Practices (GMP), Good Documentation Practices (GDP), Equipment Maintenance
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Screening Inside Sales Representative (Eastern Time Zone)
United States · Hybrid
Entry level$2.5B raised
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Training Coordination, Competency Assessment, Microsoft Office, Smartsheets, Salesforce
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: SAP Concur, T&E Operations, Stark Law Compliance, People Leadership, Workday
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Skills: Equipment Installation, IQOQ, Preventative Maintenance, Troubleshooting, Root Cause Analysis
Company Description Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and acc…
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$80k–$117k/yr
Full-time
high school, bachelor degree
Posted 2d ago
~40 hrs/week
Responsibilities
Manage the day-to-day activities of the prior authorization team to ensure accurate and timely documentation for healthcare eligibility and access. Drive payment for services by optimizing billing processes and collaborating with Finance and Client Services teams.
Requirements
Requires a high school diploma or degree in business/healthcare administration and at least 3 years of healthcare revenue cycle experience, including 1 year in a leadership role. Proficiency in medical coding (CPT/ICD), insurance reimbursement, and Microsoft Office is essential.
Full job description
Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant® is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer. For more information, visit guardanthealth.com and follow the company on LinkedIn, X (Twitter) and Facebook.
As a Supervisor, Reimbursement Prior Authorization, you play an important role in the overall success of the company. Working with our billing tool provider, you will drive payment for our services, and by partnering with colleagues in Finance and Client Services. You will facilitate optimized billing processes and operations that are aligned with Guardant Health’s mission and values.
You are responsible for facilitating the prior authorization request process for required authorizations to ensure work queue is managed and addressed properly and timely. Manage day-to-day activities and provides guidance to the authorization team on documenting and resolving all authorization requests and/or issues to ensure accurate and timely documentation for services related to the members healthcare eligibility and access. You will be expected to be knowledgeable of, and be able to perform, the duties of the staff supervised. Strong communication and troubleshooting skills are required.
Essential Duties and Responsibilities:
Serve as the knowledge expert and information source for staff, key stake holders,
Ensures authorization team’s compliance with contract requirements, policies, procedures, and performance standards
Monitors authorization requests inventory to ensure proper resources allocation throughout the day
Maintains knowledge of contract requirements, policies, procedures, and performance standards
Assist in the reimbursement appeals process by providing chronological documentation/tracking of prior-authorization verification and advisor follow-up for cases under review.
Works with authorization team and senior management to identify opportunities for process and quality improvements within authorization request processes
Evaluates authorization team performance and provides feedback regarding performance, goals, and career milestones
Provides coaching and guidance to authorization team and department productivity goals to ensure accurate and timely documentation for services and improve processing and quality of authorization requests
Proactively monitor for organization risks, communicates risks to leadership and develop action plans to mitigate risks
Assists with onboarding, hiring, and training authorization team members. Participates in developing and/or updating job aids, training modules, workflows and implements change management strategies
Manage the import and export of documents through insurance portals, ensuring timely submission of prior authorization requests, ensuring accuracy and compliance with procedures
Follow appropriate HIPAA guidelines
Work well individually and in a team environment accomplishing set KPI goals
Performs other related duties as assigned to support the overall efficiency of the department
This role may require some travel that may include, but is not limited to:
Participating in corporate events and quarterly/biannually/annually meetings to connect with fellow leaders and share innovative strategies.
Engaging in leadership development opportunities and conferences that will enhance your skills and knowledge, empowering you to lead your team effectively.
Initiating and participating in teambuilding activities in person with your direct reports and collaborating with cross-functional teams to foster a strong, united workplace culture.
Qualifications
High school diploma or equivalent degree from an accredited college or university in business, healthcare administration or related major (relevant experience may be considered in lieu of degree)
A minimum of 3-years of recent experience in both professional healthcare revenue cycle management, and at least 1 year of related experience in a leadership role reflective of the level of this position
Excellent leadership and team management skills
Exceptional attention to detail and accuracy
Knowledge of medical terminology CPT and ICD coding
Knowledge in managed care requirements as they relate to reimbursement knowledge of US Commercial, Medicare, Medicaid and third-party payer reimbursement preferred
Experience with contacting and follow up with insurance carriers, file reconsideration requests, formal appeals and negotiations (preferred)
Must be proficient using a computer, PC software, specifically Microsoft Office Suite, particularly Excel, and have above average typing skills
Excellent communication skills, both written and verbal
Familiarity with laboratory billing, Xifin, Telcor, payer portals and national as well as regional payers throughout the country are a plus
Ability to effectively incorporate the mission and core values into processes and workflows
Effective interpersonal skills to facilitate work in a team environment and to collaborate with a variety of professionals
Strong decision making and self-motivation skills
Strong problem-solving skills and ability to troubleshoot issues effectively
Work Environment
Majority of the work is performed in a desk/office environment. Ability to sit/stand for extended periods of time.
AI & Digital Fluency
Demonstrate curiosity, sound judgment, and the ability to critically evaluate and responsibly leverage AI-enabled tools in accordance with company policies, ethical standards, and regulatory requirements to improve the efficiency, effectiveness, and quality of work.
Hybrid Work Model:This section is applicable to onsite employees who are eligible for hybrid work location as specified by management and related policies. Guardant has defined days for in-person/onsite collaboration and work-from-home days for individual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.
The annualized base salary ranges for the primary location and any additional locations are listed below. This range does not include benefits or, if applicable, bonus, commission, or equity. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, education, job-related skills, job duties, and business need.

Primary Location: Remote - Open Position (USA)
Primary Location Base Pay Range: $80,070 - $110,075
Other US Location(s) Base Pay Range: $80,070 - $110,075
If the role is performed in Colorado, the pay range for this job is: $84,780 - $116,550
Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.
Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to Peopleteam@guardanthealth.com
A background screening including criminal history is required for this role. GH will consider qualified applicants with criminal arrest or conviction histories in a manner consistent with applicable law including but not limited to the LA County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).
Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
All your information will be kept confidential according to EEO guidelines.
To learn more about the information collected when you apply for a position at Guardant Health, Inc. and how it is used, please review our Privacy Notice for Job Applicants.
Guardant Health is a leading precision medicine company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, we're transforming patient care by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant® tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer.
Important Note for Job Applicants:
Guardant Health is aware of recruiting scams where unauthorized individuals use the company's name in fraudulent emails, job postings, and social media messages. Please note that Guardant Health will never ask for money or credit card information during the job application process, nor does the company communicate with candidates via online chatrooms or personal email accounts such as Gmail or Hotmail.
Offices: 3100 Hanover Street, Palo Alto, California 94304, US · 505 Penobscot Dr., Redwood City, California 94063, US · 720 3rd Ave, Suite 2100, Seattle, Washington 98104, US · 480 Wildwood Forest Dr, Suite 600, Spring, Texas 77380, US · 10578 Science Center Drive, Suite 100, San Diego, California 92121, US
Health DiagnosticsHealth CareOncologyBiotechnologyTherapeutics
Guardant Health is a leading precision medicine company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, we're transforming patient care by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant® tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer.
Important Note for Job Applicants:
Guardant Health is aware of recruiting scams where unauthorized individuals use the company's name in fraudulent emails, job postings, and social media messages. Please note that Guardant Health will never ask for money or credit card information during the job application process, nor does the company communicate with candidates via online chatrooms or personal email accounts such as Gmail or Hotmail.
Offices: 3100 Hanover Street, Palo Alto, California 94304, US · 505 Penobscot Dr., Redwood City, California 94063, US · 720 3rd Ave, Suite 2100, Seattle, Washington 98104, US · 480 Wildwood Forest Dr, Suite 600, Spring, Texas 77380, US · 10578 Science Center Drive, Suite 100, San Diego, California 92121, US
Health DiagnosticsHealth CareOncologyBiotechnologyTherapeutics