Manager, Genetic Counseling Clinical Support, Revenue Cycle Management
Baylor Genetics
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Develop, implement, and manage a revenue cycle management clinical support function focused on prior authorizations and appeals for genetic testing services.
- Lead, coach, and develop a team of certified genetic counselors, establishing workflows, performance expectations, and quality standards.
- Oversee authorization and appeal activities to improve approval rates, reduce turnaround times, and support timely patient access to testing.
- Partner with billing, finance, laboratory operations, and payer strategy teams to align clinical support workflows with revenue cycle processes.
- Analyze authorization and appeal data to identify denial trends and implement process improvements.
- Leverage AI-enabled tools and automation to improve efficiency and scalability of revenue cycle workflows.
- Ensure compliance with payer policies, regulatory requirements, and internal quality standards.
- Perform other duties as assigned and comply with all company policies and procedures.
Requirements
- Master of Science or Master of Arts in Genetic Counseling from an ACGC‑accredited program or equivalent.
- Board‑certified Genetic Counselor.
- Minimum of 5 years of professional experience as a genetic counselor, including experience supporting revenue cycle management activities such as prior authorizations and appeals.
- Minimum of 1 year of people management or team leadership experience.
- Demonstrated experience interpreting payer policies and supporting insurance authorization and appeals processes.
- Strong analytical, organizational, and communication skills.
- Equivalent combination of education and experience may be considered.
- Experience in a commercial genetic testing laboratory or healthcare diagnostics environment (preferred).
- Experience building or scaling a new functional team or service area (preferred).
- Experience using or implementing AI‑enabled tools, automation, or decision‑support technologies within clinical or revenue cycle workflows (preferred).
- Familiarity with revenue cycle systems, payer portals, and customer relationship management platforms (preferred).
Benefits
- Compliance with clinical and laboratory safety requirements
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
genetic counselingrevenue cycle managementprior authorizationsappealsdata analysisprocess improvementspayer policy interpretationinsurance authorizationteam leadershipclinical support workflows
Soft Skills
analytical skillsorganizational skillscommunication skillscoachingteam developmentworkflow establishmentperformance managementquality standards adherenceproblem-solvingcollaboration
Certifications
Board-certified Genetic Counselor