Nurse Advocate for Molecular Diagnostics

3 days ago


Salt Lake, Utah, United States Myriad Genetics Full time

Job Title: Nurse Advocate for Molecular Diagnostics

About the Role

Myriad Genetics, Inc. is seeking a skilled Nurse Advocate to join our team. As a key member of our Revenue Cycle Management team, you will be responsible for leading and performing individual work on appeals for erroneous denials and obtaining patient chart notes.

Key Responsibilities
  • Understand Myriad products and their recommended use in patient populations.
  • Understand insurance denial reasons on claims and prior authorizations, and insurance appeal processes for claims and prior authorizations.
  • Be a strong advocate for patients to challenge erroneous denials and obtain medical records from clinician offices.
  • Prepare and provide training for the Revenue Cycle team on how to replicate processes designed by the Nurse Advocate to challenge erroneous insurance denials and obtain medical records from clinician offices.
  • Assist Revenue Cycle leaders with measuring predictors of success in gaining coverage and identify root causes for denials.
Requirements
  • RN is required.
  • 5+ years of related experience with 3+ years as a nurse reviewer at a payor required.
  • Demonstrated ability to interact with clinician offices and clinicians to overcome barriers to appropriate patient care.
Physical Requirements

Lifting Requirements - light work or exerting up to 20 pounds of force frequently. Physical Requirements - stationary positioning, moving, operating, ascending/descending, communicating, observing, pushing or pulling, and reaching.

We are an equal opportunity employer and place a high value on diversity and inclusion at our company. In hiring and all other employment decisions, we prohibit discrimination and harassment on the basis of any protected characteristic.



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