Patient Financial Navigation Specialist (PST Time Zone)

The Position:

We are hiring a mid-level Patient Financial Navigation Specialist to join our team. As a patient financial navigator, you will be at the heart of Veracyte’s mission to serve patients globally.  In this role, you will work directly with patients to help them navigate the financial aspects of their healthcare by assessing financial needs, explaining insurance benefits, assisting with payment plans and financial aid applications. 

In this role, you will need to serve as a liaison between patients, providers, insurance companies to handle billing inquiries and other aspects of the patient financial journey with the goal of reducing financial stress and improving transparency around healthcare costs. To be successful, you will need a to have a passion for working directly with patients and the willingness to go above and beyond to provide personalized guidance, timely support, and clear communication, to help patients feel more confident and informed throughout their care journey.

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. 

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