Reimbursement Specialist

Scorpion Therapeutics; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

Veracyte is seeking a Mid-level Reimbursement Specialist to support cancer diagnostics reimbursement processes. You will verify coverage, submit claims, track statuses, and manage denials and appeals while guiding patients through financial navigation.

Required are 2+ years in medical billing or revenue cycle, proficiency with payor portals, and strong organizational and communication skills. This is a remote, full-time role with standard business hours.

Qualifications

• High school diploma or GED + 2+ years in medical billing or revenue cycle.
• Proficiency in Microsoft Office, payer portals, and claim tracking systems.
• Familiarity with HIPAA, ICD, CPT, HCPCS coding, and CMS 1500 forms.

Responsibilities

• Handle insurance billing operations including verifying coverage and submitting claims.
• Track claim statuses, manage denials and appeals, ensure payer guideline compliance.
• Assist patients with financial navigation, document management, and data entry.

Skills

Microsoft Office

Payer portals

Claim tracking systems

Organizational skills

Communication skills

2+ years experience

Education

Associate's or Bachelor's in healthcare administration or related field

Tools

Epic

XiFin

Job description

Role

Mid-level Reimbursement Specialist supporting Veracyte's cancer diagnostics reimbursement processes.

Responsibilities

• handle insurance billing operations including verifying coverage, submitting claims, tracking claim statuses, managing denials and appeals, and ensuring compliance with payer guidelines
• assist patients with financial navigation and document management
• utilize payor portals, maintain accurate records, and perform data entry

Requirements

• high school diploma or GED
• 2+ years in medical billing, insurance claims, or revenue cycle
• proficiency in Microsoft Office, payer portals, and claim tracking systems
• familiarity with HIPAA, ICD, CPT, HCPCS coding, and CMS 1500 forms
• strong organizational and communication skills

Preferred

• associate's or bachelor's degree in healthcare administration or related field
• experience with CRM and billing software such as Epic or XiFin
• knowledge of NUCC Claim Adjustment Reason Codes

HighValue

focus on healthcare reimbursement, insurance claims management, and compliance within a diagnostics development environment.

Work setup

remote, full-time, Monday-Friday, 8:00 am-5:00 pm PST/CST.