Patient Financial Navigation Specialist (PST Time Zone)

Eligibility / Qualification Required:

The schedule for this role will be Monday - Friday 8:30am-5pm PST.
Responsibilities include:

• Evaluate patient financial situations and guide them through available support options. • Verify insurance coverage and explain benefits to patients.
• Assist with financial aid applications and payment plan setup.
• Handle Patient Billing enquiries with confidence, escalating only for complex situations.
• Collect payments, Explain Out of Pocket Costs and provide information on self-pay pricing.
• Refer patients to appropriate financial assistance programs with confidence.
• Maintain accurate records and ensure compliance with healthcare regulations.
• When 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 check Eligibility, Prior Auth, Claim or Appeal statuses to obtain information needed to move claims forward in the life cycle
• Provide timely, personalized support to enhance the overall patient experience.
• Resolve billing concerns proactively and communicate clearly to build trust and confidence.
• Able to provide guidance and support to entry level peers for typical situations.

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:

• Experience with Microsoft Office (especially Word and Excel)
• 2+ years of experience in healthcare billing, insurance coordination,or patient financial services.
• Experience with payer portals and claim tracking systems
• Familiarity with HIPAA compliance and healthcare privacy regulations
• Experience working with in CRMs (i.e., Salesforce) and Billing Software(i.e., Epic,XiFin, Quadax)
• Strong understanding of health insurance plans, benefits, and coverage verification processes.
• Proficiency in explaining complex financial and insurance information to patients in a clear and empathetic manner.
• Ability to assess patient financial needs and recommend appropriate payment plans or financial assistance options.
• Experience with billing systems, insurance pre-authorizations, and payment collection procedures.
• Familiarity with self-pay pricing structures and assistance program referrals.
• Excellent communication and interpersonal skills to liaise effectively between patients, providers, and hospital staff.

#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. 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.
Pay range
$25—$30 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 thrilled to be recognized as a 2024 Certified™ Great Place to Work® in both the US and Israel - a testament to our dynamic, inclusive, and inspiring workplace where passion meets purpose.

About Veracyte

Veracyte(Nasdaq: VCYT) is a global diagnostics company whose vision is to transform cancer care for patients all over the world. We empower 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 Veracyte 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-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. For more information, please visitwww.veracyte.comor follow us onLinkedInorX (Twitter).
Veracyte, Inc. is an Equal Opportunity Employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status. Veracyte participates in E-Verify in the United States. View our CCPA Disclosure Notice
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