Reimbursement Specialist (PST Time Zone)

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. Working at Veracyte enables our employees to not only make a meaningful impact on the lives of patients, but to also learn and grow within a purpose driven environment. This is what we call the Veracyte way – it’s about how we work together, guided by our values, to give clinicians the insights they need to help patients make life-changing decisions.

Our Values:

• We Seek A Better Way: We innovate boldly, learn from our setbacks, and are resilient in our pursuit to transform cancer care

• We Make It Happen: We act with urgency, commit to quality, and bring fun to our hard work

• We Are Stronger Together: We collaborate openly, seek to understand, and celebrate our wins

• We Care Deeply: We embrace our differences, do the right thing, and encourage each other

The Position:

The successful candidate will be a rockstar at identifying, analyzing, and resolving insurance company denials. While working with our Reimbursement, Commercial, and Finance teams this role will provide on-going insight and analytics on all medical insurance claims. This is an U.S. remote position.

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

Responsibilities include:

• Verifying insurance/recipient eligibility, billing and follow-up on claims to Medicare, Medicaid and Private Insurer Payers.

• Researching and responding to Medicare, Medicaid and other Payer inquiries regarding billing issues and insurance updates.

• Reviewing unpaid and/or denied claims, appeals and follow-up on accounts to zero status.

• Organizing and distribute comprehensive appeal packages to the insurance provider.

• Ability to review and interpret explanation of benefits to determine contractual allowance.

• Researching accounts and resolving deficiencies.

• Calling insurance companies regarding outstanding accounts. Utilize payor websites to check claim status.

• Reviewing and submitting accurate claims, re-submissions and claim review forms.

• Researching and monitoring specific billing issues, trends and potential risks based on current research and customer feedback.

• Answering all patient/doctor/hospital/lab/insurance company phone calls regarding accounts, and takes appropriate action.

• Providing administrative support (when requested) including performing data entry, updating various record keeping systems, upholding company policies and Client requirements, and participating in projects, duties, and other administrative tasks.

• Knowledge, understanding, and compliance with all applicable Federal and Local laws and regulations relating to job duties.

• Knowledge, understanding, and compliance with Company policies and procedures.

• Other duties as assigned.

Who You Are:

• Bachelor's Degree or Associates Degree

• 1-2 Years of direct appeals and billing experience

• Enthusiasm and an entrepreneurial spirit

• Familiarity with ICD and HCPC/CPT coding preferred

• Familiarity with CMS 1500 claim form preferred

• Familiarity with Claim Adjustment Reason Codes (NUCC) preferred

• Ability to create and maintain spreadsheets

• Ability to use analytical, interpersonal, communication, organizational, numerical, and time management skills.

• Experience handling and expediting escalated issues, with follow up to the customer.

• Ability to quickly assess a situation and take appropriate actions to address customer needs and requests in a timely and efficient manner. Self-starter with the ability to work independently and effectively in a team environment.

• Ability to organize and prioritize multiple projects/tasks and meet deadlines in a constantly evolving and fast-paced environment.

• Strong, consistent work ethic with a keen attention to details and ability to focus on the big picture.

• Excellent written and verbal communication skills.

• Must be able to communicate with confidence and tact across all levels within the company.

#LI-Remote

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
$23—$30 USD

What We Can Offer You

Veracyte is a growing company that offers significant career opportunities if you are curious, driven, patient-oriented and aspire to help us build a great company. 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. We are thrilled to be recognized as a 2024 Certified™ Great Place to Work® in both the US and Israel - a testament to our dynamic, inclusive, and inspiring workplace where passion meets purpose.

About Veracyte

Veracyte (Nasdaq: VCYT) is a global diagnostics company whose vision is to transform cancer care for patients all over the world. We empower clinicians with the high-value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer. Our Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. For more information, please visit www.veracyte.com or follow us on LinkedIn or X (Twitter).

Veracyte, Inc. is an Equal Opportunity Employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status. Veracyte participates in E-Verify in the United States. View our CCPA Disclosure Notice.

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