Reimbursement Operations Supervisor

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

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