Reimbursement Specialist (PST Time Zone)

<div class="content-intro"><p>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 <em>the Veracyte way</em> – 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. </p> <p>Our Values:</p> <ul> <li><strong>We Seek A Better Way</strong>: We innovate boldly, learn from our setbacks, and are resilient in our pursuit to transform cancer care</li> <li><strong>We Make It Happen</strong>: We act with urgency, commit to quality, and bring fun to our hard work</li> <li><strong>We Are Stronger Together</strong>: We collaborate openly, seek to understand, and celebrate our wins</li> <li><strong>We Care Deeply</strong>: We embrace our differences, do the right thing, and encourage each other</li> </ul> <p> </p></div><h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">The Position:</span></h3> <p>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.</p> <p><span data-teams="true"><strong>*</strong>This is a full time, non-exempt role with a schedule of <strong>Monday through Friday PST Hours</strong></span></p> <p>Responsibilities include:</p> <ul> <li>Researching and monitoring specific billing issues, trends and potential risks</li> <li>Reviewing and ensuring claims are submitted accurately with all pre-claim requirements.</li> <li>Ability to track the status of claims and pull reports to manage work (especially in Excel)</li> <li>Review denied/unpaid claims and take appropriate corrective action with minimal guidance (i.e., resubmission, appeal etc.)</li> <li>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.</li> <li>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</li> <li>Knowledge of payer guidelines and policies with ability to integrate it into daily decision making</li> <li>Assisting patients with navigating the financial journey with compassion and accuracy.</li> <li>Verifying insurance/recipient benefits with Medicare, Medicaid and Private Insurer Payers.</li> <li>Ensuring accurate and timely completion of billing responsibilities each day</li> <li>Reviewing and interpreting explanation of benefits</li> </ul> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">Who You Are:</span></h3> <p><strong>Education</strong></p> <ul> <li>High school diploma or GED</li> <li>Associate's or bachelor's degree in healthcare administration, business, or related field preferred</li> </ul> <p><strong>Experience/Qualifications</strong></p> <ul> <li>Use of personal computer, computer applications, and general office equipment.</li> <li>Experience with Microsoft Office (especially Word and Excel)</li> <li>2+ years of experience in medical billing, insurance claims, or revenue cycle operations</li> <li>Experience with payer portals and claim tracking systems</li> <li>Familiarity with HIPAA compliance and healthcare privacy regulations</li> <li>Experience working with in CRMs (i.e., Salesforce) and Billing Software (i.e., Epic, XiFin, Quadax)</li> <li>Strong, consistent work ethic with attention to detail and ability to focus on the big picture.</li> <li>Ability to use analytical, interpersonal, communication, organizational, numerical, and time management skills.</li> <li>Good organization skills with ability to meet deadlines and manage several projects at a time.</li> <li>Enthusiasm and an entrepreneurial spirit</li> <li>Familiarity with ICD and HCPCS/CPT coding preferred.</li> <li>Familiarity with CMS 1500 claim form preferred.</li> <li>Familiarity with Claim Adjustment Reason Codes (NUCC) preferred</li> </ul> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><span style="font-family: Helvetica, Arial, sans-serif; font-size: 14px;">#LI-Remote</span></span></p> <p> </p><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p></p> <p class="x_MsoNormal"><span data-olk-copy-source="MessageBody">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.</span></p></div><div class="title">Pay range</div><div class="pay-range"><span>$25</span><span class="divider">—</span><span>$30 USD</span></div></div></div><div class="content-conclusion"><p> </p> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">What We Can Offer You</span></h3> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">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<sup>®</sup> in both the US and Israel - a testament to our dynamic, inclusive, and inspiring workplace where passion meets purpose.</span></p> <p> </p> <h3><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">About Veracyte</span></h3> <p>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 <a href="https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.veracyte.com%2F&esheet=54340020&newsitemid=20251015446872&lan=en-US&anchor=www.veracyte.com&index=5&md5=4d48386b00ece1531372e2e593d7cd2d">www.veracyte.com</a> or follow us on <a href="https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fveracyte%2F&esheet=54340020&newsitemid=20251015446872&lan=en-US&anchor=LinkedIn&index=6&md5=234cba826cb637f449d2722139f551ef">LinkedIn</a> or <a href="https://cts.businesswire.com/ct/CT?id=smartlink&url=https%3A%2F%2Fx.com%2Fveracyte%3Fs%3D11&esheet=54340020&newsitemid=20251015446872&lan=en-US&anchor=X+%28Twitter%29&index=7&md5=20ead95735af622bf261b20735515b66">X (Twitter)</a>.</p> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;">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 <a href="https://www.veracyte.com/privacy-statement-for-california-residents/" target="_blank">CCPA Disclosure Notice</a>.</span></p> <p><span style="font-family: arial, helvetica, sans-serif; font-size: 10pt;"><strong><span class="ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak">If you receive any suspicious alerts or communications through LinkedIn or other online job sites for any position at Veracyte, please exercise caution and promptly report any concerns to <a class="fui-Link ___1rxvrpe f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn" href="mailto:careers@Veracyte.com" target="_blank">careers@veracyte.com</a></span></strong></span></p></div>