Job Summary The Genetic Counseling Assistant shall be responsible for:
Triaging genetic counselor referrals/phone calls/emails, communicating directly with patients/families in consultation with genetic counselors and/or other program staff.
Performing pre-visit preparation for initial clinical visits, including collection of relevant medical records, lab reports, medical records review and coordination of patient intake forms.
Facilitating genetic testing process, including identification of laboratories, researching appropriate testing and sample submission requirements, and requesting shipment of clinical testing kits from laboratories to patients. Acting as a liaison between clinicians and genetic testing laboratories. Troubleshooting testing process as needed.
Obtaining prior authorization for genetic testing in accordance with payer requirements with payers or in coordination with Patient Financial Services. Submits letters of medical necessity, providing additional clinical, laboratory and demographic details to support authorization requests, including determination of accurate CPT and ICD 10 codes and with scheduling peer-to-peer meetings with insurance providers. Tracking submitted requests and documents outcomes. Communicating with families about insurance authorization for testing.
Completing genetic testing requisition forms, including interpretation of patient pedigrees and assignment of diagnosis codes.
Ensuring test results are entered into Power Chart and program database. Maintains patient testing database for the program. May build or enhance database as needed.
Working with providers and families to ensure post-testing follow-up visits are scheduled.
Gathering and synthesizing data, resources, and literature related to relevant genes, variants, diagnoses and test results to assist genetic counselors in preparing for clinical visits with patients/families.
Preparing patient education materials and patient-centered educational events.
Supporting the program's quality improvement for the program by providing data for Quality Improvement program; actively seeks and recommends quality improvement opportunities. Preparing reports from database regarding referral and testing metrics.
In order to qualify you must have:
A Bachelor's degree in Biological Science, Clinical Laboratory Science or related scientific field
One year of experience in either a laboratory setting or healthcare or insurance customer service setting
Ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations.
Ability to work effectively with diverse internal and external constituencies.
Ability to gather and synthesize data, resources, and literature related to relevant genes, variants, diagnoses and test results.
Analytical skills and judgment to interpret data and take the appropriate action in circumstances or situations that vary.
Ability to work independently and on a team.
Intermediate proficiency with in document processing and spreadsheet software.
Strong attention to detail
Boston Children's Hospital offers competitive compensation and unmatched benefits, including a rotating days/evenings and week-end schedule, affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement, cell phone plan discounts and discounted rates on T-passes (50% off). Discover your best.
Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.