Nurse Advocate for Molecular Diagnostics
1 day ago
We are seeking a skilled Nurse Advocate to join our team at Myriad Genetics, Inc. in a US-based remote position. As a Nurse Advocate, you will play a critical role in 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.
- Prepares and provides 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.
- Speak to patients, when needed, to explain and understand their individual situation and how Myriad can work with them to obtain coverage for appropriate testing.
- 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.
- Intermediate knowledge of Microsoft Word and Excel.
- Working knowledge of ICD-10, CPT and HCPCS coding, HIPAA regulations, and insurance appeal procedures.
We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. We are an equal opportunity employer and place a high value on diversity and inclusion at our company.
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