Clinical Assistant I/Revenue Claims Specialist-Temp - Remote

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 …