Careers

CardioDx is a dynamic, fast-moving organization. Based in Palo Alto, CA, we work in an evolving and exciting environment focused on serving cardiologists by offering clinically validated, actionable genomic tests to improve patient care.

We are strategically focused on developing genomic tests for three forms of cardiovascular disease: coronary artery disease, cardiac arrhythmias, and heart failure. As a growing company, we are looking for talented professionals. We offer opportunities that allow our team members to grow professionally and contribute to advances in medicine while working with other committed, driven and focused professionals.

Benefits and compensation are industry-competitive, commensurate with experience, and include 401(k), health, dental and disability insurance. CardioDx is a diverse and flexible work environment, providing our team members with the tools, leadership and support that they need to deliver the best work possible.

Following is a list of our currently open positions. To apply for one of these positions, please send a statement of interest and resume to careers@cardiodx.com.

Clinical Laboratory Scientist (CA CLS License)
Medical Appeals Specialist

Clinical Laboratory Scientist (CA CLS License)

The candidate will have the opportunity to work in a service-oriented lab in a new facility with state of the art equipment.

Major Duties and Responsibilities:

The ideal candidate must be a licensed Clinical Laboratory Scientist in the state of California. The candidate would:

Work in the CLIA lab running gene expression assays which includes reviewing, interpreting, and reporting patient results
Have excellent focus and attention to detail with good documentation skills
Have excellent laboratory techniques
Have the ability to multi-task and function within a highly collaborative environment
Write/revise SOPs
Adhere to all SOPs and regulatory requirements
Be adaptable to changing work flows
Meet quality control standards to demonstrate expected assay performance
Be able to identify and troubleshoot problems that may adversely affect test performance
Have schedule flexibility
Have effective verbal and written communication
Have strong automation and computer skills
Participate and support our overall commercial operation

Schedule: Full Time: Day shift, Tuesday - Saturday; Part Time: negotiable

Requirements

The ideal candidate must be a licensed Clinical Laboratory Scientist in the state of California.

Medical Appeals Specialist

General Description of Position:

The Appeals Specialist manages a medical patient insurance claim after the claim has been denied by either a commercial or a government payer (e.g. Blue Cross Blue Shield or Medicare). The objective of this position is to work with the patient, whose claim has been denied, the treating physician, and the health insurance company to get the denied claim reversed and payment made for clinical services rendered. It will be the responsibility of the Appeals Specialist to understand and interpret health insurance appeals and provider dispute resolution processes, applicable clinical guidelines, and health payer coverage policies. Position also requires drafting, submitting and tracking action on appeals letters, reconsideration and re-determination requests and other communication with medical payers on behalf of CardioDx and it’s patients. The Appeals Specialist is also responsible for understanding the clinical information required for an appeal, will have the ability to perform searches for relevant journal articles and will assist the patient and the physician or physician staff through education and clear communication about the appeals process and the status of the patient’s medical claim. The Appeals Specialists will track the status of outstanding appeals and will trend appeals successes to help develop establishing appeals strategies for specific payers. The position will work closely with patients, treating physicians, CardioDx field-based sales representatives, CardioDx billing personnel and external personnel at health insurance companies.

Work Experience Requirements:

Must have two or more years of direct medical claim appeals experience for laboratory or hospital claims or two or more years of medical claims reviewing or provider dispute resolution experience in a commercial health insurance company.
Proficiency in healthcare insurance reimbursement including benefit investigations, appeals, Medicare re-determination and reconsideration requests, and other provider dispute resolution actions.
Must have strong writing skills and excellent organizational ability.
Strong customer service/patient service skills and physician relationship skills along with the ability to do multiple tasks are keys to success in this position.
Effective problem solving skills, an attention to detail and strong verbal skills are also important.
Clinical knowledge is preferable but not essential to position

The position reports to the Reimbursement Operations Department.

Education Requirements

Associate's degree required.
Bachelor's degree or relevant clinical degree and licensure (LPN; RN) preferred

Job Location:

The Appeals Specialist can be located in-house at the CardioDx offices in Palo Alto, CA or, if residing outside of California, the employee can work from home, however, travel to Palo Alto will be required.

Circulation: Cardiovascular Genetics Correlation of Peripheral Blood Gene Expression with the Extent of Coronary Artery Stenosis
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