Molecular and Genetic Laboratory billing and authorization specialist

Molecular and Genetic Laboratory billing and authorization specialist

• Syracuse
• Allied Health
• Full-time
• Opening on: Jul 30 2026
• Clin Path-Molecular
• State of New York
• TH Staff Assistant 2, NSSL1
• 90564
• UUP (State University Professional Services Unit)

Add to favorites View favorites

Job Summary:

The Molecular & Genetic Prior Authorization & Billing Specialist plays a critical role in ensuring patients receive timely access to laboratory testing by securing insurance authorizations and supporting accurate reimbursement for molecular, genetic, and other specialized laboratory tests.

Key responsibilities include:

• Managing Prior Authorizations: Obtain insurance authorizations for molecular, genetic, and other laboratory testing by coordinating with insurance carriers, providers, and patients.
• Verifying Documentation & Medical Necessity: Review medical records, obtain diagnosis codes and clinical documentation, and ensure all payer requirements are met prior to testing.
• Supporting Billing & Reimbursement: Help prevent claim denials by verifying insurance eligibility, monitoring authorization status, and resolving authorization and reimbursement issues.
• Maintaining Compliance & Collaboration: Document authorization activities accurately and partner with laboratory staff, providers, billing teams, and insurance representatives while staying current on payer policies and regulatory requirements

Minimum Qualifications:

Associates degree in Healthcare Administration, Nursing, Laboratory, Billing or related field. At least 2 years of experience in prior authorization, medical billing, or revenue cycle operations.

Preferred Qualifications:

Certified Prior Authorization Specialist (PACS). Proficient with EHR/EPIC, LIS/Beaker systems and insurance portals. Strong verbal and written skills for interacting with providers, payers, and patients. Knowledge of ICD-10, CPT coding, and payer authorization requirements. Experience navigating commercial and government payer portals. Strong analytical and problem-solving skills with the ability to resolve authorization and denial issues effectively. Excellent attention to detail and accuracy in completing authorization forms, documentation, and follow-up activities. Organizational, communication, and time-management skills.

Work Days:

M-F 8:30-5:00

Message to Applicants:

Recruitment Office: Human Resources