ApplyBlast uses AI to match you with the right jobs, tailor your resume and cover letter, and apply automatically so you can land your dream job faster.

Features

Auto Apply Resume Optimizer Cover Letter Optimizer Interview Prep

Company

Social Media

Need Help?

team@applyblast.com

Clinical Billing Integrity Lead Analyst at GeneDx - ApplyBlast

Clinical Billing Integrity Lead Analyst

GeneDx

1 month ago

3.1 on Glassdoor

Remote

Full Time

Medior

1 applicant

View Job Listing

Apply to 100+ jobs

About this role

The Clinical Billing Integrity Lead Analyst supports the organization by ensuring utilization requests and claim submissions comply with payer medical necessity rules. The role applies payer-specific criteria, creates clinical documentation, reviews prior authorizations and denials, and collaborates with internal teams to improve reimbursement accuracy and reduce claim denials.

Responsibilities

Lead clinical integrity efforts across functions to ensure medical necessity compliance
Review and decide prior authorizations and claim denials for compliance
Analyze data trends with visualization tools to identify expansion opportunities

Skills

Qualifications

Master's Degree in Genetic CounselingCertification by the American Board of Genetic Counseling (ABGC)Genetic counseling state licensure

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.