Clinical Assistant II

The Clinical Assistant II/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.

• 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