Position Summary: Temporary Position (6 Month - Contract to Hire)
The Clinical Assistant I/Revenue Claims Specialist supports the Genetic Counseling project team by working on operations related to reimbursement, collecting follow-up data, serving as a liaison between other departments, and assisting with product improvements. This position is initially for a 6 month time frame, with the potential to convert to full time permanent.
Job Responsibilities:
- Communicates directly with Prior authorization, Claims and Appeals, and lab teams to: Trouble shoot issues, verify samples, streamline processes and serve as a liaison between these teams and the genetic counselors.
- Assist with data collection for internal projects/ product development and operations related to reimbursement.
- Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
- Reviews and Monitors billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions.
- Participates in team meetings.
- In addition to the above, the following clinical assistant duties would also be performed:
- Review incoming referrals and claim denials and request additional documentation/clarification when needed.
- Request and track sample collection kits and answer patient questions regarding samples
- Update internal databases regarding test development progress and make notes in LIMS case ‘notes’ for each patient or provider contact.
- Assist genetic counselors in answering questions from clinics and customer support.
- This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic) in order to perform the job.
- Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
- Must maintain a current status on Natera training requirements.
- Employee must pass post offer criminal background check.
- Performs other duties as assigned
Qualifications:
- High School Diploma (required)
- BA/BS in biology, allied health, or science related field (strongly preferred).
- Will consider candidates in pursuit of four-year bachelor’s degree program provided they meet required education requirements and at least 2-3 years professional work experience in biotech, life sciences, medical billing, insurance collections, or related industry.
- Experience in insurance collections or medical billing preferred.
Required Knowledge, Skills and Abilities:
- Experience with Microsoft Excel, Google mail and Google Documents
- Excellent organization and attention to detail
Pay Range: The pay range for this role is $22-$25/hr. Actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
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