Reimbursement Specialist

1 day, 8 hours 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

  • Verify patient insurance coverage and benefits across Medicare, Medicaid, and private payers.
  • Review claims for accuracy and required pre-claim documentation, then ensure timely submission.
  • Track claim status and maintain work reports, particularly in Excel.
  • Investigate denied or unpaid claims and complete corrective actions, including resubmissions and appeals.
  • Navigate payer portals and phone systems to check eligibility, prior authorization, claim, and appeal statuses.
  • Review and interpret explanations of benefits and apply payer guidelines to daily decisions.
  • Perform accounts receivable follow-up and payment posting activities.
  • Assist patients with their financial journey using compassion and accuracy.
  • Research billing issues, trends, and potential risks.
  • Provide administrative support through data entry, record maintenance, policy compliance, and departmental projects.

Requirements

  • High school diploma or GED required.
  • 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 with Microsoft Office, especially Word and Excel.
  • Experience with CRM and billing software such as Salesforce, Epic, XiFin, or Quadax.
  • Familiarity with HIPAA compliance and healthcare privacy regulations.
  • Strong attention to detail, organization, communication, analytical, numerical, and time-management skills.
  • Ability to meet deadlines, manage multiple projects, and work independently with minimal guidance.
  • Familiarity with ICD, HCPCS/CPT coding, CMS-1500 claim forms, and Claim Adjustment Reason Codes preferred.

Benefits

  • Remote, full-time, non-exempt position with a Tuesday–Saturday schedule from 8:30 a.m. to 5:00 p.m. PST.
  • Base pay range of $24.82–$33.59 per hour.
  • Potential eligibility for discretionary bonuses or incentives and restricted stock units.
  • Competitive compensation and benefits.
  • Career growth opportunities at a growing diagnostics company.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Regional Accountant (Part-Time)

New Energy Nexus 51-250 Capital Markets

New Energy Nexus is seeking a part-time, fully remote Regional Accountant to manage bookkeeping, reconciliations, financial data mapping, and audit support for entities in Singapore and Vietnam.

8 hours, 16 minutes ago

Accountant

Pavago IT Services

Pavago is hiring a remote Accountant for a client to manage invoicing, accounts receivable, cash flow tracking, and financial operations while modernizing accounting systems and workflows.

8 hours, 16 minutes ago

Staff Accountant, Accounts Payable (AP) & Corporate Accounting

Puck 1-10 Internet Software & Services

Prenuvo is hiring a Staff Accountant – AP & Corporate Accounting in Canada to support month-end close, high-volume accounts payable, and corporate accounting workflows for its proactive healthcare operations.

NetSuite
1 day, 7 hours ago

Senior Accountant

Splitero 11-50 Banks

Splitero is hiring a Senior Accountant to manage core accounting and reporting while partnering with Finance leadership on strategic planning, automation, and scalable financial operations for its real estate finance business.

Salesforce
1 day, 7 hours ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers