Teams at Exact Sciences

Interpret and sign out molecular and IHC diagnostic tests (NGS, ctDNA, PDL1, HER2), perform H&E tumor cellularity assessments, support assay validation, quality improvement, and cross-functional stakeholder consultation in a CAP/C LIA-certified molecular diagnostics lab.

Process and file insurance claims, verify patient insurance eligibility and coverage, correct account information in Epic and other systems, interact with payors for authorizations, document actions, support revenue cycle operations, and adhere to HIPAA and company quality standards.

Manage insurance claim lifecycle by verifying eligibility, submitting and editing claims, researching denials and underpayments, coordinating with payors and internal teams, using Epic/OnBase/portals, and performing write-offs and appeals to ensure accurate reimbursement.