Clinical Reimbursement Assistant – Contract

This is a fully remote position, open to applicants in United States.

📋 Description

• Request and evaluate medical records to pinpoint pertinent clinical information that supports genetic testing cases.

• Identify incomplete or missing documentation for necessary follow-up.

• Compile documentation packets for submission of prior authorization, claims, or appeals.

• Ensure accurate case documentation is maintained within internal systems.

• Initiate and monitor medical record requests.

• Oversee case pipelines to confirm that required documentation is received.

• Update internal systems with the status of records and outline subsequent steps.

• Achieve daily and weekly metrics related to record requests and case progression.

• Assist in outreach initiatives directed towards providers and patients.

• Document outreach efforts and track responses.

• Engage in operational improvement and projects aimed at enhancing workflow efficiency.

• Collaborate with Genetic Counselors, Prior Authorization, Billing, and Appeals teams.

• Participate in team meetings and initiatives focused on process improvement.

• Maintain documentation in compliance with HIPAA/PHI standards.

⛳️ Requirements

• High School Diploma or its equivalent.

• Bachelor’s degree in biology, genetics, life sciences, public health, or a related field, or equivalent relevant experience.

• Excellent attention to detail and strong organizational skills.

• Ability to read and interpret medical documentation effectively.

• Comfort in a data-driven, process-oriented environment.

• Strong written and verbal communication abilities.

• Capability to manage multiple cases and priorities concurrently.

• High level of accuracy and meticulousness.

• Willingness to learn new systems and workflows.

• Demonstrated initiative and eagerness to acquire knowledge.

• Ability to work independently in a remote setting.

• Preferred: academic background in genetics or a healthcare-related discipline.

• Preferred: experience with medical records, healthcare documentation, or insurance processes.

• Preferred: familiarity with Salesforce and Google Workspace.

🏝️ Benefits

• Comprehensive medical, dental, vision, life, and disability plans for eligible employees and their dependents.

• Complimentary genetic testing for employees and their immediate families.

• Fertility care benefits.

• Leave for pregnancy and baby bonding.

• 401(k) benefits.

• Commuter benefits.

• Employee referral program.

• Fully remote work options.

• Opportunities for career growth and hands-on learning.

• Exposure to genetic testing operations, reimbursement strategies, billing workflows, data tracking, and process enhancement.