Position Summary:

The Supervisor, Reimbursement - Pre-Billing is responsible for the daily oversight and operational management of frontend revenue cycle workflows supporting patient registration, billing data entry, insurance verification, eligibility validation, financial case management, and intake triage operations. This role is critical in ensuring operational accuracy, timely workflow execution, and clean claim readiness prior to claim submission to minimize downstream denials, claim rejections,

reimbursement delays, and avoidable billing discrepancies.

This role is responsible for monitoring operational quality, productivity, queue aging, and SLA adherence while supporting workflow standardization and operational scalability across seven-day reimbursement operations. The ideal candidate will bring strong operational leadership experience within healthcare revenue cycle management with a focus on front-end reimbursement operations, clean claim prevention strategies, payer intelligence, and eligibility verification workflows.

Key Responsibilities:

• Oversee daily front-end revenue cycle operations, including patient registration, billing data entry,

• insurance verification, eligibility validation, and financial case management workflows
• Supervise intake triage operations, including incoming calls, emails, escalations, correspondence, and
• issue resolution support
• Ensure accurate review and processing of patient demographics, insurance information, diagnosis
• codes, associated documentation, and payer selection prior to claim submission
• Monitor operational queues, productivity, quality metrics, and departmental SLAs to support timely
• workflow completion and clean claim readiness
• Support front-end denial prevention efforts by identifying and resolving eligibility discrepancies, payer
• issues, registration inaccuracies, and front-end claim edits or rejections
• Provide leadership oversight and workflow support for on-site and offshore/BPO operational teams
• Serve as a subject matter expert for payer interpretation, insurance verification workflows, payer portals,
• Medicare, Medicaid, commercial plans, IPA routing, and self-pay processes
• Manage escalated operational issues and collaborate with cross-functional departments to support
• reimbursement readiness and workflow resolution
• Audit front-end operational activities to ensure compliance with payer requirements, internal workflows,
• and documentation standards
• Monitor payer trends, workflow gaps, and reimbursement-related issues to support continuous
• operational improvement initiatives
• Partner with Training, Quality, Systems, Prior Authorization, Post-Billing, and Revenue Cycle Leadership
• teams to improve workflow efficiency, operational performance, and staff development
• Coach, mentor, and support employees

Travel Requirements:

• This role may require some travel (quarterly/biannually/annually) that may include, but is not limited to:
• Participation in corporate meetings, leadership summits, and strategic planning sessions.
• Engagement in leadership development programs and industry conferences.
• Onsite visits for team building, training, and cross-functional collaboration to foster a strong, united workplace culture.

Qualifications

• Associate’s (Bachelor’s preferred) degree in related fields such as healthcare administration, business administration, or engineering is preferred, but directly related healthcare revenue cycle experience may be considered in lieu of a degree.

• Minimum of 5 years of healthcare revenue cycle experience required in front-end/pre-billing workflows.
• Proven leadership experience, with a minimum of 2 years of experience supervisory teams, including people managers and/or offshore (BPO) operations.
• Strong working knowledge with healthcare reimbursement systems, (e.g., Salesforce, eligibility platforms, clearinghouses), Xifin, Telcor, and national as well as regional payers throughout the US are a plus.
• Experience supporting offshore/global operational teams and high-volume production environments strongly preferred.
• Strong analytical and problem-solving skills with the ability to identify workflow trends, operational gaps, denial drivers, and process improvement opportunities.
• Proficiency with Microsoft Office Suite required, particularly Microsoft Excel, reporting tools, and general computer navigation; strong typing and documentation accuracy skills required.
• Excellent verbal and written communication skills with the ability to effectively collaborate across operational departments, leadership teams, providers, patients, insurance carriers, and external business partners.
• Demonstrated ability to manage multiple priorities in a fast-paced operational environment while maintaining strong attention to detail, quality, and service excellence.
• This role offers a challenging yet rewarding opportunity for a dynamic leader ready to drive sustainable improvements in a high-impact area of revenue cycle management.

Work Environment

• Ability to work flexible hours based on operational business needs
• Primary business hours generally align with 8:00 AM – 5:00 PM Pacific Time; however, operational leadership
• flexibility is required to support global staffing operations and seven-day workflows
• May require evening, weekend, or holiday operational support based on business needs
• Hybrid, remote, or on-site work arrangements may be considered based on organizational needs
• 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