Reimbursement Specialist
New
V
VeracyteHealthcare Diagnostics
PST Time Zone, PSTFull-TimeMiddle
Salary25 - 31 USD per hour
Apply NowOpens the employer's application page
Job Details
- Experience
- 2+ years of experience in medical billing, insurance claims, or revenue cycle operations
- Required Skills
- SalesforceMicrosoft Excel
Requirements
- High school diploma or GED
- 2+ years of experience in medical billing, insurance claims, or revenue cycle operations
- Experience with Microsoft Office (especially Word and Excel)
- Experience with payer portals and claim tracking systems
- Familiarity with HIPAA compliance and healthcare privacy regulations
- Experience working with CRMs (e.g., Salesforce) and Billing Software (e.g., Epic, XiFin, Quadax)
- Strong attention to detail and ability to focus on the big picture
- Ability to use analytical, interpersonal, communication, organizational, numerical, and time management skills
Responsibilities
- Researching and monitoring specific billing issues, trends and potential risks
- Reviewing and ensuring claims are submitted accurately with all pre-claim requirements.
- Ability to track the status of claims and pull reports to manage work (especially in Excel)
- Review denied/unpaid claims and take appropriate corrective action with minimal guidance
- Navigating payor portals, website or phone systems to check Eligibility, Prior Auth, Claim or Appeal statuses
- Assisting patients with navigating the financial journey with compassion and accuracy.
- Verifying insurance/recipient benefits with Medicare, Medicaid and Private Insurer Payers.
- Reviewing and interpreting explanation of benefits
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