Reimbursement Specialist (PST Time Zone)

9 hours, 49 minutes ago
Full-time
Junior
Customer and Technical Support
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, including in Excel.
  • Review denied or unpaid claims and take corrective action such as resubmission or appeal with minimal guidance.
  • Navigate payer portals, websites, and phone systems to check eligibility, prior authorization, claim, and appeal status.
  • Verify insurance coverage and benefits for Medicare, Medicaid, and private payers.
  • Review and interpret explanation of benefits.
  • Assist patients with the financial journey with compassion and accuracy.
  • Provide administrative support, including data entry, record keeping, policy compliance, and project support.
  • Ensure billing responsibilities are completed accurately and on time each day.

Requirements

  • High school diploma or GED is required.
  • Associate's or bachelor's degree in healthcare administration, business, or a related field is 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 with CRM systems such as Salesforce and billing software such as Epic, XiFin, or Quadax.
  • Knowledge of ICD and HCPCS/CPT coding is preferred.
  • Familiarity with CMS 1500 claim forms and Claim Adjustment Reason Codes (NUCC) is preferred.

Benefits

  • Base pay range of $25 to $30 USD per hour.
  • May be eligible for discretionary bonuses and incentives.
  • May be eligible for restricted stock units.
  • Competitive compensation and benefits package.
  • Remote-friendly role with Monday through Friday PST hours.
  • Inclusive workplace recognized as 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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