PFS Insurance Specialist II

Há 2 dias


Sorocaba, Brasil Ambry Genetics Tempo inteiro

Overview Employer Industry: Genetics-Based Healthcare Why consider this job opportunity: Salary up to $28.00 per hour Eligible for a Short-Term Incentive Plan with a target at 3% of annual earnings Comprehensive benefits program including 401k, medical, dental, vision, FSA, and generous PTO Opportunity to work in a dynamic and collaborative environment Chance to contribute to advancements in genetic testing and healthcare solutions Responsibilities Verify insurance coverage benefits for genetic testing, including deductible and co-insurance amounts Determine authorization requirements for genetic testing based on CPT and ICD-10 codes Manage exceptions and rejections from automated eligibility systems Send authorization requests to patients\' insurance with necessary documentation Report and trend payer-related issues regarding insurance verifications and denied authorization requests Qualifications High school diploma or equivalent 2+ years of experience in obtaining approvals for prior authorizations Knowledge of CPT codes, medical terminology, insurance plans, and ICD-10 codes Ability to adapt to a fast-paced, dynamic environment Excellent computer skills and understanding of different payer plans coverage and benefit criteria Preferred Qualifications 2+ years of experience in a clinical laboratory, especially in genetic billing #GeneticsHealthcare #InsuranceVerification #CareerOpportunity #CompetitivePay #HealthcareJobs #J-18808-Ljbffr



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