Reimbursement Specialist (PST Time Zone)

The Position:

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. Your primary role will be to take part in the day-to-day operations of the insurance billing life cycle to facilitate a smooth reimbursement process (i.e., verifying patient insurance coverage and benefits, ensuring timely insurance claim submissions, payment posting, performing A/R Follow-Up, sending appeals et al.). To accomplish this, you will need to work with insurance companies, internal teams, customers and patients with compassion and clarity while also having strong knowledge of healthcare reimbursement systems, insurance regulations, and compliance standards.

*This is a full time, non-exempt role with a schedule of Monday through Friday 8:30am-5pm PST Hours

Responsibilities include:

• Researching and monitoring specific billing issues, trends and potential risks
• Reviewing and ensuring claims are submitted accurately with all pre-claim requirements.
• Ability to track the status of claims and pull reports to manage work (especially in Excel)
• Review denied/unpaid claims and take appropriate corrective action with minimal guidance (i.e., resubmission, appeal etc.)
• When requested, providing administrative support for department(s) including but not limited to performing data entry, updating various record keeping systems, upholding company policies and Client requirements, and participating in projects, duties, and other administrative tasks.
• Navigating payor portals, website or phone systems to check Eligibility, Prior Auth, Claim or Appeal statuses to obtain information needed to move claims forward in the life cycle
• 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

Who You Are: