We are transforming precision medicine.

Variantyx is a technology-driven precision medicine company providing state-of-the-art diagnostic

solutions for the rare genetic disorders and reproductive genetics markets, and treatment optimization in

oncology. Our proprietary whole genome analysis platform allows us to better understand a person’s genetic makeup, leading to unmatched diagnostic capabilities and improved personalized treatment

recommendations.

Role Description:

This is a full-time role for a Utilization Review Manager- Genetic Counselor at Variantyx.

The role is responsible for managing the claim denials and appeals for the revenue cycle

management team.

Responsibilities:

Assist in the development of the Claim rejection and denial Workflows and Standard Operation Procedures (SOPs)
Establish appeal protocols or delegate appropriate follow-up
Develop and maintain templates for appeals
Assist in the development and maintenance of a Payor Guide for the Company focusing on payor policies for medical necessity.
Develop and send a monthly revenue cycle management newsletter for the company
Compile and disseminate reports to demonstrate reimbursement of clients and payors
Provide direct management to Claim Specialist
Provide training and support to Prior authorization and Benefits investigation team as needed
Work with Utilization Review Managers to establish team goals and performance metrics
Meet regularly with the Utilization Management team to ensure clean claim submissions
Present eternally and externally regarding billing and reimbursement of genetic testing.
Seek out training opportunities for yourself and your team

Qualifications and Experience::

Masters in Genetic Counseling or equivalent training and clinicals experience
Leadership
Attention to detail and organization
At least 1 year of clinical experience in genetics
Board Certified/Board Eligible Genetic Counselor

Variantyx

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Utilization Review Manager- Genetic Counselor