Prior Authorization Expert

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Direct message the job poster from Agendia

Vice President Of Revenue Cycle Management

Company Description

Agendia is a precision oncology company based in Irvine, California, dedicated to providing patients with early stage breast cancer and their physicians the necessary information for optimal treatment decisions. The company offers two genomic profiling tests, MammaPrint and BluePrint, which deliver comprehensive genomic information to personalize breast cancer treatment. Agendia collaborates with leading companies to develop innovative digital tools and conducts ongoing research to enhance patient outcomes and clinical support.

Role Description

This is a full-time on-site role for a Prior Authorization Expert at Agendia in Irvine, CA. The Prior Authorization Expert will be responsible for managing prior authorization processes, ensuring timely approval of prior authorizations, and liaising with healthcare providers and insurance companies to obtain necessary authorizations for genomic testing. They will also collaborate with internal teams to streamline authorization procedures and maintain accurate documentation.

Main Responsibilities :

• Verify diagnosis codes against current ICD-10 requirements
• Complete authorization forms via paper or online platforms
• Submit authorizations to payors via fax, electronic portals, or third-party vendors
• Follow up on open authorization submissions and notify billing staff of determination receipt

Requirements :

Apply online at www.agendia.com

Seniority level

Entry level

Employment type

Full-time

Industries

Biotechnology

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