Revenue Cycle Management Billing Correspondence Specialist

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world's largest, rare disease data sets. For more information, please visit www.genedx.com.

Summary

The RCM Correspondence Specialist manages healthcare revenue cycle communications, ensuring timely processing of insurance, patient, and internal correspondence to support billing and reimbursement while maintaining regulatory compliance. Responsibilities include reviewing and routing correspondence, documenting actions in billing platforms, analyzing trends, communicating with stakeholders, assisting with denied claims, and supporting process improvements. Qualifications require relevant education, experience in healthcare revenue cycle management, proficiency in billing software, and strong communication and organizational skills. This remote position reports to the Associate Director of Cash Posting and Correspondence and involves collaboration with various teams.

Job Responsibilities

• Review, process, and respond to correspondence from payers, patients, and internal departments regarding billing, claims, and payment issues.
• Identify and route correspondence to appropriate teams or individuals for resolution.
• Document all correspondence actions and maintain accurate records in the organization's RCM system.
• Maintain up-to-date records of all correspondence, actions taken, and outcomes in the billing system platforms, e.g., Smartsheet, Confluence, SharePoint, etc.
• Analyze correspondence for trends or recurring issues and escalate as needed.
• Communicate effectively with insurance companies, patients, and staff to clarify billing questions and resolve discrepancies.
• Ensure all correspondence is handled in compliance with HIPAA and other relevant regulations.
• Assist with appeals and follow-ups on denied claims based on correspondence received.
• Monitor and follow up on current and outstanding unresolved correspondence within established timelines.
• Critical thinking is vital.
• Support process improvement initiatives to enhance the efficiency of the correspondence workflow.
  
  

People Manager

• No
  
  

Education, Experience, and Skills

• High school diploma or equivalent required; associate or bachelor's degree in a related field preferred.
• A minimum of 2-5 years of experience in healthcare revenue cycle management, medical billing, or insurance correspondence is required.
• Strong understanding of medical terminology, billing codes, and payer requirements.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office Suite and healthcare billing software.
• Detail-oriented with strong organizational and time management abilities.
• Ability to work independently and collaboratively in a fast-paced environment.
  
  

Certificates, Licenses, Registrations

• N/A
  
  

Work Environment

This is a fully remote position. The employee will work from a home office or other suitable remote location with reliable high-speed internet access. Work is performed in a climate-controlled environment using standard office equipment including computer, phone, and video conferencing tools. Your standard work schedule and hours will be established in collaboration with your leader and may be adjusted to align with evolving business needs.

Pay Transparency, Budgeted Range

$35—$37 USD

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Science - Minded, Patient - Focused.

At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care.

Experts in what matters most.

With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry's genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust.

SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES.

From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way:

TECHNICAL EXPERTISE

• High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved.
• Advanced detection: By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed.
  
  

CLINICAL EXPERTISE

• Thorough analysis: We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence.
• Customized care: Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations.
• Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals.
  
  

Learn more About Us here.

Our Culture

At GeneDx, we are dedicated to cultivating an environment where creativity and innovation thrive. We believe in the power of community and collaboration, where diverse perspectives are embraced, and every voice contributes to our shared success. Our team is a vibrant mix of professionals who challenge and support each other in equal measure, fostering growth both personally and professionally. When you join us, you're not just taking on a job—you're joining a movement. A movement that champions curiosity, embraces change, and believes in making an impact, one patient at a time. Cultural principles we live by:  

• Be bold in our vision & brave in our execution. 
• Communicate directly, with empathy. 
• Do what we say we're going to do.  
• Be adaptable to change.  
• Operate with a bias for action.  
  
  

Benefits include:

• Paid Time Off (PTO)
• Health, Dental, Vision and Life insurance
• 401k Retirement Savings Plan
• Employee Discounts
• Voluntary benefits
  
  

GeneDx is an Equal Opportunity Employer.

All privacy policy information can be found here.