Remote Reimbursement Specialist — Timely Claims

Veracyte, Inc.; United States; À distance; USD 34 000 - 47 000; Plein temps

Résumé du poste

Veracyte, Inc. is seeking a mid-level Reimbursement specialist to join the team in a remote capacity. The role focuses on day-to-day insurance billing operations, verifying patient coverage, timely claim submissions, and payment posting to ensure accurate reimbursement.

Responsibilities include tracking claims, handling denials with appeals, and supporting departmental data entry and reporting. Requires 2+ years in medical billing and familiarity with payer portals and HIPAA rules.

Qualifications

• 2+ years of experience in medical billing, insurance claims, or revenue cycle operations.
• Experience with payer portals and claim tracking systems.
• Familiarity with HIPAA compliance and healthcare privacy regulations.

Responsabilités

• Research and monitor billing issues, trends and potential risks.
• Review and ensure claims are submitted accurately with pre-claim requirements.
• Track status of claims and pull reports to manage work (especially in Excel).
• Review denied/unpaid claims and take corrective action (resubmission, appeal).
• Provide administrative support for departments and projects as needed.
• Navigate payor portals to check Eligibility, Prior Auth, and Claim statuses.

Connaissances

Medical billing experience

Billing software

HIPAA compliance

Microsoft Excel

CRM tools (Salesforce)

Attention to detail

Analytical skills

Communication skills

Formation

Associate's or Bachelor's degree in healthcare administration

High school diploma or GED

Outils

Epic

XiFin

Quadax

Payer portals

Description du poste

Veracyte, Inc. is seeking a mid-level Reimbursement specialist to join the team in a remote capacity. The role focuses on day-to-day insurance billing operations, verifying patient coverage, timely claim submissions, and payment posting to ensure accurate reimbursement.

Responsibilities include tracking claims, handling denials with appeals, and supporting departmental data entry and reporting. Requires 2+ years in medical billing and familiarity with payer portals and HIPAA rules.