Manager, Genetic Counseling Clinical Support, Revenue Cycle Management

Baylor Genetics

2d • Remote

About The Position

The Manager, Revenue Cycle Management Clinical Support is responsible for
establishing and leading a specialized clinical support function focused on
prior authorizations and appeals for genetic testing services. This role builds
and manages a small team of certified genetic counselors to ensure timely,
accurate, and compliant revenue cycle support while improving access to testing
and financial outcomes.

This role exists to operationalize a high-impact clinical revenue cycle function
that supports patient access, payer compliance, and organizational financial
performance. It impacts clinical operations, billing and finance partners,
payers, and ordering providers. Success is measured by authorization turnaround
times, appeal success rates, team performance, and the effective use of
technology and AI-enabled workflows. The scope of this role may evolve as
organizational needs change.

Requirements

• 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.

Nice To Haves

• Experience in a commercial genetic testing laboratory or healthcare diagnostics environment.
• Experience building or scaling a new functional team or service area.
• Experience using or implementing AI‑enabled tools, automation, or decision‑support technologies within clinical or revenue cycle workflows.
• Familiarity with revenue cycle systems, payer portals, and customer relationship management platforms.

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 101-250 employees