Reimbursement Specialist; Medical Records Focus)(Remote
Position: Reimbursement Specialist (Medical Records Focus)(Remote) Castle Biosciences Earns "Top Workplaces USA Award" for Phoenix, Pittsburgh, and Friendswood! You won't find a work culture and benefits package like ours every day. Come join our team and a group of colleagues who love working at Castle! Learn more at Castle Biosciences Inc. is growing, and we are looking to hire a Reimbursement Specialist (Medical Records Focus) working remotely from your home office based in the USA, with a start date on or before January 15, 2026. Why Castle Biosciences? Castle Biosciences is a leading biotech company that improves health through innovative tests that guide patient care. Total Compensation Package Salary Range: $46,000.00 - $47,277.00. Final salary is based on Experience and Education levels.
- Excellent Annual Salary + 20% Bonus Potential
- 20 Accrued PTO Days Annually
- 10 Paid Holidays
- 401K with 100% Company Match up to 6%
- 3 Health Care Plan Options + Company HSA Contribution
- Company Stock Grant Upon Hire
- $75/month reimbursement for internet service
A Day in the Life of a Reimbursement Specialist (Medical Records Focus) This individual is responsible for resolving insurance claims for laboratory test services that require medical record documentation by requesting records from clinician offices, following up on those requests, and submitting complete medical records to payers based on their requirements, medical policy, or state laws, while providing the highest level of customer service to internal and external customers. This role spends most of its time communicating with ordering clinicians and their staff via phone, fax, and email to obtain the necessary patient medical records, analyzing received records to ensure all required documentation is included, and securing any missing information. Additional responsibilities include preparing medical record cover letters and submitting documentation to demonstrate medical necessity or compliance with medical policy criteria. When needed, this individual creates custom submission letters with arguments that support claim processing according to payer policy, state laws, or Medicare regulations, and contacts patients, physician offices, or sales to gather any remaining required information.
Requirements
- High School Diploma or equivalent, GED, or equivalent work experience.
- Two years of health insurance billing with experience in reviewing medical records, extracting key details, and populating custom medical records submissions to payers.
- Must have in-depth experience reading and interpreting medical record documents and payer medical policies to ensure the medical documents contain the key "medical necessity" criteria required and meet CMS medical documentation requirements.
- Experience handling a high volume of claims work on a daily basis (32 plus claims per day)
- Must demonstrate the ability to type 35 WPM with 90% or higher accuracy.
Travel Requirements
- Less than 5% as needed for training and meetings.
Schedule Monday - Friday, 8:00 AM to 5:00 PM, non-exempt position, working remotely from your home office based in the USA. Ready to Join Our Biotech Team? We truly appreciate your time. If this feels like the right opportunity for you, we'd love for you to complete our mobile-friendly application. We're excited to learn more about you and look forward to connecting soon! Castle Biosciences Awards and Research Developments! Castle Biosciences continues to innovate and receive recognition for its contributions to precision medicine. Work Authorization All candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H-1B visas, OPT, or employment-related visas. About Castle Biosciences Inc. At Castle Biosciences, people are at the heart of everything we do. Our mission is to improve health through innovative tests that guide patient care. We empower patients and clinicians to make more confident, personalized treatment decisions through rigorous science and clinically actionable solutions that help improve disease management and patient outcomes. Our impact starts with our team. Every individual at Castle plays a meaningful role in advancing patient care. We value integrity, trust, and collaboration in all we do and are committed to fostering an environment where people can grow, thrive, and make a lasting impact. Here, your work has purpose, your voice matters, and together, we're shaping the future of precision medicine. Castle Biosciences is an equal opportunity employer with respect to all protected groups, including protected veterans and individuals with disabilities. If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail Reasonable Accommodations
- * No third-party recruiters, please.
For more information, or to apply now, you must go to the website below. Please DO NOT email your resume to us as we only accept applications through our website. https://castl #J-18808-Ljbffr Apply tot his job Apply To this Job