What are the responsibilities and job description for the Reimbursement, Reimbursement Specialist (Claim Denial & Appeal Focus)(Remote) position at Castle Biosciences, Inc.?
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 www.CastleBiosciences.com
Castle Biosciences Inc. is growing, and we are looking to hire a Reimbursement Specialist (Claim Denial & Appeal Focus) working remotely from your home office based in the USA, with a start date on or before January 15, 2026.
Why Castle Biosciences?
Total Compensation Package
This individual is responsible for resolving denied insurance claims for laboratory services by providing payers with requested documentation, initiating the appeal process on behalf of the patient, following up on outstanding transactions, and delivering the highest level of customer service to internal and external customers. This role spends most of its time reviewing and resolving front-end claim issues to ensure timely, accurate submission; reviewing Explanation of Benefits (EOBs), electronic remittance advice, and denial letters; assigning ANSI codes; and taking appropriate action in the billing system. Responsibilities include contacting insurance companies for missing information or claim status, using payer portals for follow-up, and supplying additional documentation needed to adjudicate claims. The role also involves creating custom appeals with appropriate arguments to overturn denials based on payer medical policy or state laws and submitting both standard and custom appeal letters for insurance companies including Medicare, Medicare Advantage, and commercial plans.
Requirements
<5% as needed for training and meetings.
SCHEDULE
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!
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 as 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 ReasonableAccommodationsRequest@castlebiosciences.com.
This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.
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 www.CastleBiosciences.com
Castle Biosciences Inc. is growing, and we are looking to hire a Reimbursement Specialist (Claim Denial & Appeal Focus) working remotely from your home office based in the USA, with a start date on or before January 15, 2026.
Why Castle Biosciences?
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
This individual is responsible for resolving denied insurance claims for laboratory services by providing payers with requested documentation, initiating the appeal process on behalf of the patient, following up on outstanding transactions, and delivering the highest level of customer service to internal and external customers. This role spends most of its time reviewing and resolving front-end claim issues to ensure timely, accurate submission; reviewing Explanation of Benefits (EOBs), electronic remittance advice, and denial letters; assigning ANSI codes; and taking appropriate action in the billing system. Responsibilities include contacting insurance companies for missing information or claim status, using payer portals for follow-up, and supplying additional documentation needed to adjudicate claims. The role also involves creating custom appeals with appropriate arguments to overturn denials based on payer medical policy or state laws and submitting both standard and custom appeal letters for insurance companies including Medicare, Medicare Advantage, and commercial plans.
Requirements
- High School Diploma or equivalent GED or equivalent work experience.
- Two years of health insurance billing with experience in identifying and resolving claim issues for laboratory tests
- Must have a working knowledge of various payers' designations of authorized representative forms
- Experience handling a high volume of claims work on a daily basis (35 plus claims per day)
- Must demonstrate the ability to type 35 WPM with 90% or higher accuracy.
<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.
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!
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 as 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 ReasonableAccommodationsRequest@castlebiosciences.com.
This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.
- No third-party recruiters, please
Salary : $46,000 - $47,277