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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:
High school diploma or equivalent education
At least 1 year of related experience, preferably in medical billing or authorization
Knowledge of CPT and ICD-10 codes
Ability to read and understand medical payer policies and pathology reports
Apply online at www.agendia.com
Seniority level Entry level
Employment type Full-time
Industries Biotechnology