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Appeals Specialist at GeneDx - ApplyBlast

Appeals Specialist

GeneDx

3 months ago

3.1 on Glassdoor

Remote

Full Time

Senior

0 applicants

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About this role

The Appeals Specialist reviews denied insurance claims for specialized laboratory services, identifies root causes, and submits well-documented appeals to maximize reimbursement. This role involves analyzing denial trends, collaborating with internal teams and external payors, and ensuring compliance with healthcare regulations and coding guidelines.

Responsibilities

Review and analyze denied claims to determine basis for denial
Communicate with healthcare providers to gather necessary documentation
Submit well-documented appeals to maximize reimbursement
Monitor submitted appeals to ensure timely resolution
Identify denial trends and recommend process improvements

Skills

About GeneDx

genedx.com

Headquarters

Stamford, Connecticut, United States

Company Size

1001-5000 employees

Founded

2000

View Profile

GeneDx is a clinical genomics company and diagnostic laboratory that helps clinicians and families find genetic answers through expert genome and exome sequencing. They provide comprehensive testing options — including whole exome and whole genome sequencing, targeted gene panels, and trio/parental analyses — paired with clinical interpretation by molecular geneticists. GeneDx supports providers and patients with detailed, clinically focused reports, genetic counseling resources, and variant classification informed by curated databases and clinical expertise. Clinicians rely on GeneDx for diagnosing rare and undiagnosed genetic conditions and for actionable genomic insights.