The Director of Reimbursement is responsible for leading end-to-end revenue cycle operations, including claims, denials, and prior authorizations. They will oversee large production teams and utilize data-driven KPIs to ensure operational excellence and financial performance.
The director is responsible for the positioning, message development, and commercialization of dermatology tests within the product portfolio. They will lead commercial core teams and coordinate cross-functional marketing activities across various customer segments.
The Executive Director shapes and executes regulatory strategies to support product development, commercialization, and ongoing compliance for molecular diagnostics and medical devices. This role involves navigating complex regulatory landscapes while collaborating with executive leadership and cross-functional stakeholders to drive strategic objectives.
Responsible for resolving denied insurance claims for laboratory services by providing documentation and initiating the appeal process. The role involves reviewing EOBs, assigning ANSI codes, and communicating with insurance companies to ensure timely claim adjudication.
Responsible for assigning medical insurance plans and performing eligibility verification checks for new patient accounts. The role involves resolving eligibility issues and managing the submission and follow-up of prior authorizations.
Responsible for resolving insurance claims for laboratory tests by requesting and submitting necessary medical record documentation to payers. This involves communicating with clinicians and analyzing records to ensure compliance with medical policies and state laws.
The specialist is responsible for assigning medical insurance plans and performing eligibility verification checks on new patient accounts. They also resolve eligibility issues by coordinating with providers and patients while managing prior authorization submissions.
