Ambry Genetics
PFS Insurance Specialist I
What's your preference?
Job Description
- Req#: PFSIN004168
Employer Industry: Genetics-Based Healthcare
Why consider this job opportunity:
- Salary up to $24.00 per hour
- Eligible for a Short-Term Incentive Plan with a target of 3% of annual earnings
- Comprehensive benefits package including medical, dental, vision, 401k, FSA, paid sick leave, and generous paid time off (PTO)
- Opportunity to work in a dynamic, innovative environment dedicated to improving health through genetic understanding
- Chance to contribute to cutting-edge genetic testing solutions and collaborate with a knowledgeable team
What to Expect (Job Responsibilities):
- Verify patient insurance coverage benefits, including deductible and out-of-pocket maximums for genetic testing
- Ensure authorization requirements for genetic testing based on CPT and ICD-10 codes
- Process exceptions/rejections from automated eligibility systems
- Send authorization requests with the necessary documentation to insurance providers
- Follow up on authorization statuses and coordinate with vendors for timely prior authorizations
What is Required (Qualifications):
- High school diploma or equivalent
- 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
- Minimum of 1 year of experience in a clinical laboratory, preferably in genetic billing, and 1 year of experience in obtaining prior authorizations
How to Stand Out (Preferred Qualifications):
- Experience in a healthcare-related billing position
- Familiarity with genetic testing processes and requirements
- Strong analytical skills for trending and reporting payer-related issues
- Previous experience with automated eligibility systems
- Additional certifications related to healthcare billing or insurance verification
#GeneticsHealthcare #PatientFinancialServices #CareerOpportunity #CompetitivePay #InnovativeWorkEnvironmentAbout the company
Ambry is committed to delivering accurate genetic test results for hereditary cancer. Request a sample kit today
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.