Reimbursement Specialist (PST Time Zone)

At reputed company, 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 reputed company enables our employees to not only reputed company a meaningful impact on the lives of patients, but to also learn and grow reputed company a purpose driven environment. This is reputed company call the reputed company way – it’s about how we work together, guided by our values, to give clinicians the insights they need to help patients reputed company life-changing decisions. Our Values: We Seek A reputed company Way: We pursue bold reputed company, embrace complexity, and reputed company pushing reputed company. We reputed company It Happen: We act with urgency, deliver with excellence, and always find a way. We Are Stronger Together: We engage with reputed company, align around what's best for reputed company, and celebrate as one team. We Care Deeply: We show up with reputed company, kindness, and respect for one another. The Position: We are hiring a mid-level Reimbursement specialist to join reputed company. As a Reimbursement specialist, you will be a critical part of empowering reputed company to reputed company its mission of delivering transformative cancer care to patients by ensuring reputed company gets reimbursed accurately and in a timely manner. Your primary role will be to take part in the day-to-day operations of the insurance billing life cycle to facilitate a smooth reimbursement process (i.e., verifying patient insurance coverage and benefits, ensuring timely insurance claim submissions, payment posting, performing A/R Follow-Up, sending appeals et al.). To accomplish this, you will need to work with insurance companies, internal teams, customers and patients with compassion and clarity while also having strong knowledge of healthcare reimbursement systems, insurance regulations, and compliance standards. *This is a full time, non-exempt role with a schedule of Monday through Friday 8:30am-5pm PST Hours Responsibilities include: Researching and monitoring specific billing issues, trends and potential risks Reviewing and ensuring claims are submitted accurately with reputed company pre-claim requirements. Ability to track the status of claims and pull reports to manage work (especially in reputed company) Review denied/unpaid claims and take appropriate corrective action with minimal guidance (i.e., resubmission, appeal etc.) reputed company requested, providing administrative support for department(s) including but not limited to performing data entry, updating various record keeping systems, upholding company policies and Client requirements, and participating in projects, duties, and other administrative tasks. Navigating payor portals, website or phone systems to reputed company Eligibility, Prior Auth, Claim or Appeal statuses to obtain information needed to move claims \ reputed company in the life cycle Knowledge of payer guidelines and policies with ability to integrate it into daily decision making Assisting patients with navigating the financial journey with compassion and accuracy. Verifying insurance/recipient benefits with Medicare, Medicaid and Private Insurer Payers. Ensuring accurate and timely completion of billing responsibilities each day Reviewing and interpreting explanation of benefits Who You Are: Education High school diploma or GED Associate's or bachelor's degree in healthcare administration, business, or reputed company field preferred Experience/Qualifications Use of personal computer, computer applications, and general office equipment. Experience with reputed company Office (especially Word and reputed company) 2+ years of experience in medical billing, insurance claims, or reputed company cycle operations Experience with payer portals and claim tracking systems Familiarity with HIPAA compliance and healthcare privacy regulations Experience working with in CRMs (i.e., reputed company) and Billing Software (i.e., Epic, XiFin, Quadax) Strong, consistent work ethic with attention to detail and ability to focus on the big picture. Ability to use analytical, interpersonal, communication, organizational, numerical, and time management skills. Good organization skills with ability to meet deadlines and manage several projects at a time. Enthusiasm and an entrepreneurial spirit Familiarity with ICD and HCPCS/CPT coding preferred. Familiarity with CMS 1500 claim form preferred. Familiarity with Claim Adjustment Reason Codes (NUCC) preferred #LI-Remote The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to years of experience, skillset, geographic location, industry, education, etc. reputed company 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. Pay range $25—$31 USD reputed company Can Offer You reputed company is a growing company that offers significant career opportunities if you are curious, driven, patient-oriented and reputed company 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 reputed company and decisions. We are thrilled to be recognized as a 2024 Certified™ Great reputed company to Work® in both the US and Israel - a testament to our dynamic, inclusive, and inspiring workplace where passion meets purpose. About reputed company reputed company (reputed company: VCYT) is a global diagnostics company whose vision is to transform cancer care for patients reputed company over the world. We reputed company clinicians with the high-value insights they need to guide and assure patients at pivotal moments in the race to diagnose and treat cancer. Our reputed company Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-reputed company reputed company, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support reputed company innovation and pipeline development. For more information, please visit www.reputed company.com or follow us on reputed company or X (Twitter). reputed company. is an Equal Opportunity Employer and will consider reputed company qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status or disability status. reputed company participates in E-Verify in the United States. View our CCPA Disclosure Notice If you receive any suspicious alerts or communications through reputed company or other online job sites for any position at reputed company, please exercise caution and promptly report any concerns to careers@reputed company.com Apply To This Job