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 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 …
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RestrictionsRemote position
Benefits/Perks401k benefits Commuter benefits Competitive Competitive benefits Comprehensive medical Dental Disability plans Employee Referral Program Fertility care Fertility care benefits Free testing Life Life and disability plans Medical Potential for full-time Pregnancy and baby bonding leave Remote work Training provided Vision
Tasks- Assist with data collection
- Communicate with teams
- Participate in team meetings
Attention to detail Billing Billing and Coding BioTech Clinical Coding Collaboration Collection Compliance Customer Support Databases Data Collection Documentation Excel Genetic Counseling Genetics Genetic Testing Google HIPAA HIPAA Compliance HIPAA/PHI Privacy Insurance collections LIMS Management Medical Billing Microsoft Excel Oncology Operations Orientation PHI Privacy Prior authorization Product Development Reimbursement Security Training Support Testing Training
Experience2-3 years
EducationAllied Health B.A. Biology B.S. Business Genetics High school diploma Life Sciences Oncology Related Field Science Software
Certifications Timezones