Develop, implement, and manage a revenue cycle management clinical support function focused on prior authorizations and appeals for genetic testing services.
Lead, coach, and develop a team of certified genetic counselors, establishing workflows, performance expectations, and quality standards.
Oversee authorization and appeal activities to improve approval rates, reduce turnaround times, and support timely patient access to testing.
Partner with billing, finance, laboratory operations, and payer strategy teams to align clinical support workflows with revenue cycle processes.
Analyze authorization and appeal data to identify denial trends and implement process improvements.
Leverage AI-enabled tools and automation to improve efficiency and scalability of revenue cycle workflows.
Ensure compliance with payer policies, regulatory requirements, and internal quality standards.
Perform other duties as assigned and comply with all company policies and procedures.

Master of Science or Master of Arts in Genetic Counseling from an ACGC‑accredited program or equivalent.
Board‑certified Genetic Counselor.
Minimum of 5 years of professional experience as a genetic counselor, including experience supporting revenue cycle management activities such as prior authorizations and appeals.
Minimum of 1 year of people management or team leadership experience.
Demonstrated experience interpreting payer policies and supporting insurance authorization and appeals processes.
Strong analytical, organizational, and communication skills.
Equivalent combination of education and experience may be considered.
Experience in a commercial genetic testing laboratory or healthcare diagnostics environment (preferred).
Experience building or scaling a new functional team or service area (preferred).
Experience using or implementing AI‑enabled tools, automation, or decision‑support technologies within clinical or revenue cycle workflows (preferred).
Familiarity with revenue cycle systems, payer portals, and customer relationship management platforms (preferred).

Manager, Genetic Counseling Clinical Support, Revenue Cycle Management

Key skills