Claims Specialist
Core
Manage end-to-end insurance claims for diagnostic laboratory services, ensuring timely submission, follow-up, and resolution to maximize reimbursement.
Role type
Claims Specialist (Healthcare Billing)
Builds
Insurance claim submissions and denials management for diagnostic lab services (via careerplan.io/jobs/4702948005-claims-specialist-at-genedx)
Domain
Healthcare / Diagnostic Laboratory Services
Required skills
Medical claims processing, Denial management, Insurance billing, Payer guidelines compliance, Laboratory coding (CPT, ICD-10), EOBs and remittance advice, Billing software proficiency
Preferred skills
Healthcare administration or business degree, Experience in diagnostic laboratory setting
Responsibilities
Prepare and submit claims to commercial and government payers, Analyze denied claims and initiate appeals, Monitor aging reports and follow up on outstanding claims, Maintain accurate records of claim status and correspondence, Collaborate with prior authorization and billing teams, Generate claims performance reports
Seniority
Mid-level, hands-on IC
