Reimbursement Specialist (PST Time Zone)

Veracyte is seeking a Reimbursement Specialist to join their team. The successful candidate will be responsible for identifying, analyzing, and resolving insurance company denials, and providing on-going insight and analytics on all medical insurance claims. The role is full-time and remote, with a schedule of Monday through Friday 8:30am-5pm PST.

Requirements

• 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.

Benefits

• Competitive compensation and benefits
• Significant career opportunities
• Inclusive workforce
• Diverse backgrounds represented, engaged, and empowered to drive innovative ideas and decisions