Reimbursement Operations Supervisor - Remote

Overview

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 enables our employees to not only make a meaningful impact on the lives of patients, but to also learn and grow within a purpose driven environment. This is what we call the Veracyte way – it’s about how we work together, guided by our values, to give clinicians the insights they need to help patients make life-changing decisions.

Our Values:

• We Seek A Better Way: We innovate boldly, learn from our setbacks, and are resilient in our pursuit to transform cancer care
• We Make It Happen: We act with urgency, commit to quality, and bring fun to our hard work
• We Are Stronger Together: We collaborate openly, seek to understand, and celebrate our wins
• We Care Deeply: We embrace our differences, do the right thing, and encourage each other

The Position:

We are looking for a Supervisor, Reimbursement Operations to join us at Veracyte. As part of our team, you will be a critical part of empowering Veracyte to achieve its mission of delivering transformative cancer care to patients by ensuring Veracyte gets reimbursed accurately and in a timely manner. In this role you will be responsible to supervise a reimbursement operations team to ensure the smooth running of the insurance billing life cycle (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 be successful, you will need to have a deep knowledge of reimbursement operations, strong leadership skills and a passion for serving patients.

Responsibilities include:

• Regularly reviewing team performance metrics and provide coaching to your team
• Leading the onboarding, training and overall development of your team and assisting management with training across the department as needed.
• Supervise a team of reimbursement staff to manage daily work and ensure tasks are completed efficiently and accurately.
• Proactively identifying changes in payor behavior, drive issues to resolution and work to implement process improvements within your team.
• Assisting leadership with developing new procedures with detailed understanding of compliance, policy considerations, and payor contractual considerations.
• Working collaboratively in a cross functional environment for both within billing and with other departments (Market Access, Commercial, Customer Care, Finance et al).
• Key Point of contact for resolving escalated claims issues and identifying proper corrective actions.
• Expertise in relevant Revenue Cycle and other software platforms used in Billing operations.
• Strong ability to use reporting and analytical tools self-sufficiently.
• Comprehensive knowledge of reimbursement processes and payer requirements and regulations
• Manage escalated patient financial navigation issues with compassion.
• Proven ability to participate in the software development/Process improvement life cycle and able to assist with the implementation of new processes and change management.

Who You Are:

Education

• High school diploma or GED
• Associate's or bachelor's degree in healthcare administration, business, or related field preferred

Experience/Qualifications

• Strong background with Microsoft Office (especially Word and Excel)
• Ability to navigate Tableau, excel and other reporting tools for analytical uses
• Deep knowledge of working in Billing software’s (i.e., Epic, XiFin, Quadax) with a solid understanding of navigating Laboratory Information Systems and CRMs (preferably Salesforce)
• 6+ years of experience in medical billing, insurance claims, or revenue cycle operations with 2+ years managing a team
• Excellent communication both within and across departments and external partners
• Strong mentoring and leadership abilities with good conflict resolution and problem-solving skills
• Strong organization skills, with the ability to manage competing priorities in fast-paced setting while still meeting deadlines and delivering quality results.
• Good understanding of HIPAA compliance and healthcare privacy regulations
• Proven work ethic with attention to detail and ability to focus on the big picture.
• Enthusiasm and an entrepreneurial spirit