The Clinical Billing Integrity Lead Analyst at GeneDx is responsible for ensuring that utilization requests and claim submissions meet payer medical necessity rules. This role involves reviewing claims and prior authorization requests, creating clinical materials, and collaborating with various internal teams to improve compliance and reduce claim denials. The analyst will also analyze data trends to enhance billing integrity efforts and provide insights on payer coverage gaps.
See how your résumé matches this role — and tailor it from what actually gets interviews.