Clinical Science Liaison: Medical necessity reviews and Appeals
About the position
Responsibilities
• Provide complex clinical judgement in determining medical necessity and drafting denial appeal letters as needed by the clinical data curation team
• Facilitating peer to peer reviews
• Work cross functionally with Patient Finance Services team in regards to claims and appeals
• Other duties as assigned
Requirements
• Master's degree or higher in genetic counseling, human genetics, or other healthcare field
• Strong understanding of the current state of clinical genetic testing, the advantages and limitations of genetic testing, and a desire to educate community providers about the utility of clinical genetics
• Robust organizational skills
• Basic knowledge of various lab techniques, such as next generation sequencing, Sanger sequencing, exome sequencing, etc.
• Skilled collaboration skills for working with both clients and internal teams
• Ability to work well independently and prioritize tasks
• Excellent communication and interpersonal skills
Nice-to-haves
• Master's in Genetic Counseling
• Board certification in Genetic Counseling
• Exome experience
• At least 2 years' experience in a genetic testing laboratory or clinic site strongly preferred
Benefits
• $100,000 - $110,000 per year
• Eligible for a Short-Term Incentive with the target at 7.5% of your annual earnings; terms and conditions apply
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