Reimbursement Specialist (PST Time Zone)

10 hours, 35 minutes ago
Full-time
Junior
Operations
Veracyte

Veracyte

Veracyte develops innovative molecular diagnostic tests that provide clinicians with critical insights to enhance cancer diagnosis and treatment, ultimately aiming to improve patient outcomes and reduce healthcare costs.

Pharmaceuticals
251-1K
Founded 2008

Description

  • Research and monitor billing issues, trends, and potential risks.
  • Review claims to ensure they are submitted accurately with all pre-claim requirements met.
  • Track claim status and pull reports to manage work, especially in Excel.
  • Review denied or unpaid claims and take corrective action such as resubmission or appeal with minimal guidance.
  • Provide administrative support including data entry, record updates, policy adherence, and project assistance as needed.
  • Navigate payer portals, websites, and phone systems to check eligibility, prior authorization, claim status, and appeal status.
  • Apply payer guidelines and policies in day-to-day decision making.
  • Assist patients with navigating the financial journey with compassion and accuracy.
  • Verify insurance and recipient benefits with Medicare, Medicaid, and private insurers.
  • Review and interpret explanation of benefits documents.

Requirements

  • High school diploma or GED.
  • Associate’s or bachelor’s degree in healthcare administration, business, or a related field preferred.
  • 2+ years of experience in medical billing, insurance claims, or revenue cycle operations.
  • Experience with payer portals and claim tracking systems.
  • Experience using Microsoft Office, especially Word and Excel.
  • Experience using personal computers, computer applications, and general office equipment.
  • Familiarity with HIPAA compliance and healthcare privacy regulations.
  • Experience working in CRMs such as Salesforce and billing software such as Epic, XiFin, or Quadax.
  • Strong attention to detail with the ability to focus on both details and the big picture.
  • Strong analytical, interpersonal, communication, organizational, numerical, and time management skills.
  • Ability to meet deadlines and manage several projects at a time.
  • Enthusiasm and an entrepreneurial spirit.
  • Familiarity with ICD and HCPCS/CPT coding preferred.
  • Familiarity with the CMS 1500 claim form preferred.
  • Familiarity with Claim Adjustment Reason Codes (NUCC) preferred.
  • Full-time, non-exempt availability with a Monday through Friday, 8:30am–5pm PST schedule.

Benefits

  • Pay range of $25–$31 USD per hour.
  • Eligible for additional discretionary bonuses/incentives.
  • Eligible for restricted stock units.
  • Competitive compensation and benefits package.
  • Remote work arrangement (#LI-Remote).
  • Inclusive workforce and a supportive, purpose-driven culture.
  • Opportunity to work for a 2024 Certified Great Place to Work in the US and Israel.

Interested in this position?

Apply directly on the company website

Apply Now

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