[Hiring] Billing Specialist REMOTE

­­Position: Billing Specialist

Date posted: 2024-11-08

Industry: Other

Employment type: Full Time

Experience: 1 to 3 year               

Qualification: Bachelor’s Degree holder

Salary: $18/hr – $22/hr

Location: United States, REMOTE

Company: Veracyte, Inc.

Description:

Veracyte, Inc.

Billing Specialist

United States

$18/hr – $22/hr

About the job

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 – whether it be in one of our labs, corporate offices, the field – enables our employees to not only make a meaningful impact on the lives of patients, but to also learn and grow within a results-driven environment that values innovation, collaboration, and compassion.

The Position

• The successful candidate will be a rockstar in the health plan prior authorization management and processing. While working with our Reimbursement, Commercial, and Finance teams this role will provide on-going insight and analytics of the medical billing and reimbursement cycle. This position can be located in our South San Francisco or San Diego office (both hybrid) or can be remote.
• This is a full time, non-exempt role with a schedule of Monday through Friday, 8:30am-5pm PST.

Responsibilities Include

• Processing of prior authorization cases via Glidian, eviCore and direct health plan portals
• Knowledge in insurance payor authorization guidelines, and follow-up of authorization status from health plan.
• Researching and responding to heavy authorization caseload in a timely manner.
• Reviewing and provide an analysis of prior authorization determination denials and approvals.
• Organize and maintain comprehensive files that include health plan prior authorization turnaround time, appeal guidelines and other pertinent information.
• Review medical records and respond to health plan clinical questions.
• Researching and monitoring of health plan issues, trends and potential risks and provide feedback to managers.
• 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.
• Knowledge, understanding, and compliance with all applicable Federal and Local laws and regulations relating to job duties.
• Knowledge, understanding, and compliance with Company policies and procedures.
• Other duties as assigned.

Who You Are

• High School diploma, Certified Professional Coder or 2-year degree from an Accredited Medical Billing School preferred.
• 1-3 Years of direct billing experience
• Familiarity with ICD and HCPC/CPT coding preferred
• Familiarity with CMS 1500 claim form preferred
• Familiarity with Claim Adjustment Reason Codes (NUCC) preferred
• Use of personal computer, computer applications, and general office equipment including scanners.
• Ability to create and maintain spreadsheets
• Ability to use analytical, interpersonal, communication, organizational, numerical, and time management skills.
• Experience handling and expediting escalated issues, with follow up to the customer.
• Ability to quickly assess a situation and take appropriate actions to address customer needs and requests in a timely and efficient manner. Self-starter with the ability to work independently and effectively in a team environment.
• Ability to organize and prioritize multiple projects/tasks and meet deadlines in a constantly evolving and fast-paced environment.
• Strong, consistent work ethic with a keen attention to details and ability to focus on the big picture.
• Excellent written and verbal communication skills.
• Must be able to communicate with confidence and tact across all levels within the company.

The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and length of experience within the job, type and length of experience within the 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. Veracyte is a multi-state employer, and this salary range may not reflect positions that work in other states.

Pay range

$18—$22 USD

What We Can Offer You

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 proud to have been named a “Bay Area Top Workplace” for 11 years in a row by the Bay Area News Group and “Best Places to Work in San Diego” in 2023 by the San Diego Business Journal.