Reimbursement Specialist (Medical Records Focus)(Remote) Job at Castle Biosciences, Inc., Pittsburgh, PA

Nkt2WUZBVC9xU3NOK1lweEw5YjU0OXZpZ1E9PQ==
  • Castle Biosciences, Inc.
  • Pittsburgh, PA

Job Description

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?

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

  • <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!

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

Job Tags

Work experience placement, H1b, Remote work, Home office, Visa sponsorship, Work visa, Monday to Friday,

Similar Jobs

Monarch Investment

Leasing Consultant - Apartment Community Job at Monarch Investment

DescriptionConsidering a career in leasing? Do you have world-class customer service skills? Monarch Investment and Management Group, one of the top privately owned, multifamily housing companies, is ready to give YOU a rewarding career! Here at Monarch, our people...

Brandcoven

Marketing Assistant Job at Brandcoven

 ...Job Title: Marketing Assistant Location: Remote, United States Company Overview: Brandcoven is a leading marketing agency that helps businesses...  ...skills - Proficiency in social media platforms and digital marketing tools - Ability to work independently and... 

Randstad Technologies

PRINT OPERATOR Job at Randstad Technologies

 ...volume periods, especially at month end) Benefits Include: -Health Insurance -Dental Insurance -Vision Insurance -401K Retirement Plan -Company...  ...Years of experience: 1 year Experience level: Entry Level Randstad is a world leader in matching great people... 

Cumberland County Government

Cook / Chef / Food Services (2 Openings) Job at Cumberland County Government

Cumberland County government seeks to fill two (2) cook positions in their jail located in Portland, Maine. The selected applicants will provide administrative and operational support by supervising the preparation of meals and performing general purchasing duties.Both...

The Staff Pad

Prior Authorization Specialist Job at The Staff Pad

 ...The Staff Pad has partnered with a hospital in Helena, MT to hire a Prior Authorization Specialist. Position Overview: The Prior Authorization Specialist ensures patients receive timely care by obtaining necessary facility authorizations for services scheduled...