Coordinate and perform routine benefit verifications for study participants, ensuring accuracy and compliance with insurance processes while providing support to study site partners.
Our mission is to detect cancer early, when it can be cured. We are working to change the trajectory of cancer mortality and bring stakeholders together to adopt innovative, safe, and effective technologies that can transform cancer care.
We are a healthcare company, pioneering new technologies to advance early cancer detection. We have built a multi-disciplinary organization of scientists, engineers, and physicians and we are using the power of next-generation sequencing (NGS), population-scale clinical studies, and state-of-the-art computer science and data science to overcome one of medicine’s greatest challenges.
GRAIL is headquartered in Menlo Park, California, with locations in Washington, D.C., North Carolina, and the United Kingdom. It is supported by leading global investors and pharmaceutical, technology, and healthcare companies.
For more information, please visit grail.com.
The Insurance Benefit Verification Coordinator II performs routine and semi-routine benefit verification activities to support GRAIL’s REACH Medicare IDE Study. Working under general supervision, this position ensures accurate insurance verification, consistent communication with study site partners, and compliance with established policies and procedures. The FTE role requires attention to detail, reliability, and a strong customer service orientation to deliver high-quality support to internal and external partners.
Responsibilities:
- Insurance Verification: 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.
- Phone and Partner Support: Provide real-time phone assistance to study site partners during business hours to resolve insurance or cost-share questions. Escalate complex inquiries appropriately.
- Process Execution: 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.
- Data Accuracy and Compliance: Maintain and update patient demographic and insurance information in relevant systems with precision, ensuring data integrity and adherence to company and regulatory requirements.
- Collaboration: Coordinate with team members and cross-functional partners to complete work assignments and maintain service quality standards.
- Continuous Improvement: 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.
Preferred Responsibilities:
- High School Diploma or Associate Degree required.
- 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.
- Monday – Friday, 8:00 AM to 5:00 PM (Eastern Standard Time)
Expected full time annual base pay scale for this position is $43K-$53K. Actual base pay will consider skills, experience and location.
Based on the role, colleagues may be eligible to participate in an annual bonus plan tied to company and individual performance, or an incentive plan. We also offer a long-term incentive plan to align company and colleague success over time.
In addition, GRAIL offers a progressive benefit package, including flexible time-off, a 401k with a company match, and alongside our medical, dental, vision plans, carefully selected mindfulness offerings.
GRAIL is an Equal Employment Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other legally protected status. We will reasonably accommodate all individuals with disabilities so that they can participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. GRAIL maintains a drug-free workplace.
Top Skills
Crm Or Eligibility Verification Systems
Microsoft Office Suite
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