Prior Authorization Specialist — Genetic Testing & Equity

Adaptive Biotechnologies; United States; Hybrid; USD 29,866 - 33,048; Full time

Benefits offered by this job

Equity grant

Bonus eligible

Job summary

Adaptive Biotechnologies is seeking a Prior Authorization Specialist responsible for obtaining insurance approvals for clonoSEQ MRD Assays. This role involves managing prior authorizations to ensure patient access to laboratory services, acting as a liaison with healthcare providers and insurance companies.

The ideal candidate will have at least 2 years of experience in prior authorization or medical billing and must exhibit exceptional communication skills, attention to detail, and proficiency in EMR systems. A flexible working arrangement may be required.

Qualifications

• Minimum 2 years in prior authorization or medical billing.
• Strong understanding of insurance processes.
• Ability to work independently and manage multiple priorities.

Responsibilities

• Submit and track prior authorization requests.
• Maintain records of all authorization activities.
• Communicate with insurance companies to resolve issues.

Skills

Prior authorization management

Medical billing

Insurance verification

Excellent communication skills

Proficiency in EMR systems

Attention to detail

Education

High school diploma or equivalent

Associate or bachelor's degree (preferred)

Tools

Microsoft Office Suite

Careviso

Glidian

Quadax

Job description

Adaptive Biotechnologies is seeking a Prior Authorization Specialist responsible for obtaining insurance approvals for clonoSEQ MRD Assays. This role involves managing prior authorizations to ensure patient access to laboratory services, acting as a liaison with healthcare providers and insurance companies.

The ideal candidate will have at least 2 years of experience in prior authorization or medical billing and must exhibit exceptional communication skills, attention to detail, and proficiency in EMR systems. A flexible working arrangement may be required.