Job Summary
A genetic testing and diagnostics company needs applicants for an opening for a Remote Clinical Denials and Appeals Program Director.
Individual must be able to fulfill the following responsibilities:
- Manage and prioritizes timely review, investigation and response to payer denials
- Conduct ongoing oversight of the Denials and Appeals Team
- Assist with the development, maintenance, and management of cases
Skills and Requirements Include:
- 5-7 years of Director Level laboratory focused revenue cycle management experience
- 5 years in Claims Denial Management, Appeals Management, or related experience
- 3 years of current experience with reimbursement methodologies
- Certification in Clinical Documentation Improvement
- Experience preparing appeals for proprietary CDLTs
