Prior Authorization Specialist

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets. For more information, please visit www.genedx.com.  

Summary

 

The Prior Authorization specialist will work closely with the Prior Authorization Manager who is responsible for all aspects of the prior and retro authorization process. This role also involves responding to email inquiries, filing appeals for denied prior authorizations, ensuring timely resolution, and supporting reimbursement efforts. The ideal candidate will have a strong understanding of the prior authorization process, healthcare insurance billing, medical terminology, and appeals process.