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Business Management
PFS Insurance Specialist I-Front End (Monday to Friday 9am-5:30pm EST) – REMOTE Full Time
Job Duties/Responsibilities
- Verify insurance coverage and authorizations for genetic testing.
- Resolve exceptions/rejections from eligibility systems.
- Follow up on authorization statuses weekly.
- Coordinate with vendors for timely prior authorizations.
- Identify payer methods for verification and authorization.
- Report payer issues and suggest process improvements.
Requirements
- High school diploma or equivalent.
- Knowledge of CPT codes, medical terminology, insurance plans, ICD-10 codes.
- Ability to work in a fast-paced environment.
- Proficiency in computer skills, including Excel and PowerPoint.
- Experience in denials management and appeals.
Benefits
- Compensation: $22-23/hr plus Short-Term Incentive Plan.
- Comprehensive benefits: medical, dental, vision, 401k with employer match, FSA, PTO.
- Dynamic environment with career growth opportunities.
- Remote work flexibility within the USA.
