Insurance Benefit Verification Coordinator #4416 at GRAIL

Durham, North Carolina, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, BiotechnologyIndustries

Requirements

High School Diploma or Associate Degree
1–2 years of related experience in insurance verification, healthcare billing, or a similar administrative role
Familiarity with insurance carriers such as Blue Cross Blue Shield, United Healthcare, Cigna, Medicare, and Medicaid
Working knowledge of insurance plan types (Medicare, Medicare Advantage, Medicaid, PPO, HMO, etc.)
Demonstrated accuracy, organization, and attention to detail when following established workflows
Excellent verbal and written communication skills, with the ability to provide courteous, professional service to external partners and internal teams
Ability to work effectively under general supervision and within defined guidelines while meeting deadlines
Basic proficiency in data entry, Microsoft Office Suite, and CRM or eligibility verification systems
Availability for Monday – Friday, 8:00 AM to 5:00 PM (Eastern Standard Time)

Responsibilities

Perform routine benefit verification activities for study participants, following standard operating procedures. Use established systems to conduct individual and bulk eligibility checks and document results accurately
Provide real-time phone assistance to study site partners during business hours to resolve insurance or cost-share questions. Escalate complex inquiries appropriately
Apply understanding of insurance processes (Medicare, Medicare Advantage, Medicaid, commercial plans) to complete assigned verifications and follow up as required. Recognize when a deviation from standard procedure is needed and seek guidance when appropriate
Maintain and update patient demographic and insurance information in relevant systems with precision, ensuring data integrity and adherence to company and regulatory requirements
Coordinate with team members and cross-functional partners to complete work assignments and maintain service quality standards
Identify opportunities to improve process efficiency or accuracy and communicate suggestions to the supervisor
Perform other assigned duties related to benefit verification and claims support as needed

Skills

Insurance Verification

Benefit Verification

Medicare

Medicare Advantage

Eligibility Checks

Customer Service

Phone Support

SOP Compliance

Data Documentation

GRAIL

Develops blood tests for early cancer detection

About GRAIL

GRAIL focuses on improving cancer detection through advanced blood tests that identify cancer at its earliest stages, enhancing treatment success rates. The company utilizes high-intensity sequencing to analyze tumor genome data, employing algorithms and deep learning to extract actionable information for early cancer detection. GRAIL differentiates itself from competitors by its commitment to large-scale clinical studies that validate the effectiveness of its tests. The primary goal is to reduce global cancer mortality by enabling early diagnosis, making the disease more treatable.

Menlo Park, CaliforniaHeadquarters

2016Year Founded

$1,765.5MTotal Funding

ACQUISITIONCompany Stage

Biotechnology, HealthcareIndustries

1,001-5,000Employees

Benefits

Outstanding People - Join a team of passionate and dedicated professionals, committed to collaboration, education, and proactive problem-solving.

Strong Compensation - We offer competitive salaries and savings plans to provide for long-term financial planning.

Complete Health Coverage - Take advantage of comprehensive health coverage, with medical, dental and vision, to keep you and your family healthy.

Work-Life Balance - Make everyday life more manageable with flexible time off – we trust you to do great work and take time for yourself.

Risks

Potential overdiagnosis could impact the perceived value of GRAIL's tests.

Significant net losses may affect investor confidence and long-term sustainability.

High test costs may limit accessibility in markets with less healthcare funding.

Differentiation

GRAIL uses high-intensity sequencing for early cancer detection via blood tests.

The Galleri test screens for over 50 cancers with a single blood draw.

GRAIL's tests are supported by large-scale clinical studies ensuring reliability.

Upsides

Collaborations with platforms like Function Health expand Galleri test accessibility.

Revenue from Galleri grew 52% year-over-year, indicating strong market demand.

GRAIL's technology aligns with trends in personalized and preventative medicine.

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