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Salary: USD 24.82 - 33.59 / hourly
Veracyte is a global diagnostics company transforming cancer care through high-performing genomic tests and AI-driven insights. We are hiring a mid-level Reimbursement Specialist to join our revenue cycle team in a full-time, remote role (Monday–Friday, 8:00am–5:00pm PST/CST).
In this role, you will be critical to ensuring Veracyte receives accurate and timely reimbursement for its diagnostic services. You will manage the day-to-day operations of the insurance billing lifecycle, working with insurance companies, internal teams, customers, and patients to facilitate smooth claim processing and payment collection.
Key Responsibilities:
- Research and monitor billing issues, trends, and potential risks
- Review claims for accuracy and ensure all pre-claim requirements are met before submission
- Track claim status and generate reports using Excel and billing systems
- Review denied or unpaid claims and take corrective action (resubmission, appeals) with minimal guidance
- Navigate payer portals and phone systems to verify eligibility, check prior authorization status, and obtain claim/appeal information
- Verify insurance benefits with Medicare, Medicaid, and private insurers
- Review and interpret explanations of benefits
- Assist patients with navigating the financial journey with compassion and accuracy
- Provide administrative support including data entry, record-keeping, and project participation
- Apply knowledge of payer guidelines and policies to daily decision-making
- Ensure accurate and timely completion of billing responsibilities
You will work with strong knowledge of healthcare reimbursement systems, insurance regulations, and compliance standards, and demonstrate excellent interpersonal and communication skills.
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
- Proficiency with Microsoft Office, especially Word and Excel
- Experience with payer portals and claim tracking systems
- Familiarity with HIPAA compliance and healthcare privacy regulations
- Experience with CRMs (e.g., Salesforce) and billing software (e.g., Epic, XiFin, Quadax)
- Strong attention to detail, organizational skills, and ability to manage multiple projects
- Excellent analytical, interpersonal, communication, and time management skills
- Ability to meet deadlines and maintain consistent work ethic
- Familiarity with ICD and HCPCS/CPT coding (preferred)
- Familiarity with CMS 1500 claim form (preferred)
- Familiarity with Claim Adjustment Reason Codes/NUCC (preferred)
