Description
At Veracyte, we offer exciting career opportunities for those interested in joining a pioneering team that is committed to transforming cancer care for patients across the globe.
We are hiring a mid-level Reimbursement specialist to join our team. As a Reimbursement specialist, you will be a critical part of empowering Veracyte to achieve its mission of delivering transformative cancer care to patients by ensuring Veracyte gets reimbursed accurately and in a timely manner.
Responsibilities include:
- Researching and monitoring specific billing issues, trends and potential risks
- Reviewing and ensuring claims are submitted accurately with all pre-claim requirements
- Tracking the status of claims and pulling reports to manage work
- Reviewing denied/unpaid claims and taking appropriate corrective action
- Providing administrative support for department(s) including performing data entry, updating various record keeping systems, upholding company policies and Client requirements, and participating in projects
- Navigating payor portals, website or phone systems to check Eligibility, Prior Auth, Claim or Appeal statuses
- Knowledge of payer guidelines and policies with ability to integrate it into daily decision making
- Assisting patients with navigating the financial journey with compassion and accuracy
- Verifying insurance/recipient benefits with Medicare, Medicaid and Private Insurer Payers
- Ensuring accurate and timely completion of billing responsibilities each day
- Reviewing and interpreting explanation of benefits
Requirements:
- High school diploma or GED
- Associate's or bachelor's degree in healthcare administration, business, or related field preferred
- 2+ years of experience in medical billing, insurance claims, or revenue cycle operations
- Experience with Microsoft Office, especially Word and Excel
- Experience with payer portals and claim tracking systems
- Familiarity with HIPAA compliance and healthcare privacy regulations
- Experience working with CRMs and Billing Software
- Strong, consistent work ethic with attention to detail and ability to focus on the big picture
- Ability to use analytical, interpersonal, communication, organizational, numerical, and time management skills
- Good organization skills with ability to meet deadlines and manage several projects at a time
- Enthusiasm and an entrepreneurial spirit
We offer competitive compensation and benefits, and are committed to fostering an inclusive workforce, where diverse backgrounds are represented, engaged, and empowered to drive innovative ideas and decisions.
The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to years of experience, skillset, geographic location, industry, education, etc. Base pay is one part of the Total Package that is provided to compensate and recognize employees for their work, and this role may be eligible for additional discretionary bonuses/incentives, and restricted stock units. Pay range $24.82-$33.59 USD