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Prior Authorization Specialist at GeneDx - ApplyBlast

Prior Authorization Specialist

GeneDx

1 month ago

3.1 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

The Prior Authorization Specialist works closely with the Prior Authorization Manager to manage the prior and retro authorization process, including responding to inquiries, filing appeals for denied authorizations, and supporting reimbursement efforts. This role requires a strong understanding of healthcare insurance billing, medical terminology, and the appeals process to ensure timely resolution of authorization issues. The specialist collaborates with clinical teams, billing departments, and insurance representatives to facilitate peer-to-peer reviews and maintain accurate documentation.

Responsibilities

Review and resolve prior authorization inquiries in Salesforce
Prepare and submit appeals for denied prior authorizations
Communicate with healthcare providers and insurance companies

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.