Billing Resolution Manager

GeneDx is a patient-centric health information company that delivers personalized and actionable health insights that inform diagnosis, guide treatment and improve drug discovery. The company is transforming healthcare through its industry-leading exome and genome testing and interpretation, fueled by one of the world's largest, rare disease data sets. GeneDx is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care.



The Billing Resolution Manager is responsible for overseeing and managing the resolution of billing issues to ensure accuracy, efficiency, and customer satisfaction. This involves coordinating with various departments, developing effective billing practices, and implementing strategies to minimize billing discrepancies.

Job Responsibilities

• Lead the resolution of billing escalations and work closely with RSDs, RAEs, Client Services, billing vendor, and customers.
• Investigating and resolve discrepancies and identify trends for improvement.
• Ensure prompt and professional communication with patients and customers.
• Work with Head of Billing to develop and implement procedures to improve efficiency and accuracy of the billing process.
• Aid with the execution of new workflows and strategies.
• Actively monitor status of outstanding billing investigations with billing vendor.
• Ensure customer needs are identified, monitored, and practices modified to maximize customer satisfaction within established standards.
• Prepare and present regular reports on billing activities, issue resolution metrics, and process improvements to senior leadership.
• Conduct root cause analysis on recurring billing issues and recommend corrective actions.
• Ability to work cross functionally with Marketing, Client Services, Sales, Finance, IT and Market Access teams.
• Coordinate systems implementation upgrades and improvements in our billing and financial systems and oversee the support and maintenance of all financial systems related to billing.
• The job may have added responsibilities as assigned. All job duties must be performed in a manner that demonstrates the company Leadership Attributes and support of the Mission & Values of the company.
  
  

Ideal Candidate:

• 5-7 years of progressively responsible managerial experience in laboratory and insurance billing.
• Understanding of industry-specific policies, such as HIPAA regulations for health care.
• Exceptional interpersonal, written and communication skills, with the ability to effectively speak to customers and patients.
• Xifin and SalesForce experience a plus
• Experience in billing for genetic testing with Tier 1 and Tier 2 Molecular Pathology codes.
• Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment.
• Strong understanding of managed care practices, insurance reimbursement and is current on healthcare issues affecting reimbursement.
• Ability to think critically, work efficiently and responsibly in a collaborative environment with multiple work demands and brief time frames.
• Experience using Google Apps, Mac OS X, and CRM applications (i.e., Salesforce), XiFin and careviso.
  
  

Pay Transparency, Budgeted Range

$96,000—$110,000 USD

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Science - Minded, Patient - Focused.

At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care.

Experts in what matters most.

With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry's genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust.

SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES.

From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way:

TECHNICAL EXPERTISE

• High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved.
• Advanced detection: By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed.
  
  

CLINICAL EXPERTISE

• Thorough analysis: We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence.
• Customized care: Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations.
• Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals.
  
  

Learn more About Us here.

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Benefits include:

• Paid Time Off (PTO)
• Health, Dental, Vision and Life insurance
• 401k Retirement Savings Plan
• Employee Discounts
• Voluntary benefits
  
  

GeneDx is an Equal Opportunity Employer.

All privacy policy information can be found here.