Revenue Cycle Manager – Clinical Lab Billing

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🕒 Outubro 29

🌵 Arizona, Colorado, +4 estados a mais – Remoto

🌵 Arizona – Remote ⛰️ Colorado – Remote 🥔 Idaho – Remote 🎰 Nevada – Remote 🤠 Texas – Remote ⛷️ Utah – Remote

💵 $90.000 - $130.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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Rockylabs

SiteLinkedInTodas as Vagas

11 - 50 funcionários

Fundada em 2014

🏥 Saúde

💼 Consultoria

⚕️ Seguro de Saúde

Healthcare • Consulting • Healthcare Insurance

A Rockylabs é uma fornecedora pioneira de serviços laboratoriais, focada em diagnósticos rápidos e atendimento humanizado. Com ênfase em precisão e eficiência, a Rockylabs integra tecnologia de ponta para oferecer serviços em diversas categorias de testes, incluindo doenças infecciosas, toxicologia, química, imunologia e perfil genético. A empresa é dedicada a melhorar a experiência e os resultados dos pacientes ao fornecer informações diagnósticas precisas e oportunas, capacitando tanto pacientes quanto profissionais de saúde para tomarem decisões informadas sobre saúde.

Descrição

• Manage the full end-to-end laboratory revenue cycle, including charge capture, claim submission, payment posting, and A/R follow-up • Lead a billing organization of approximately 40 team members, including offshore medical billing specialists and team leads in the Philippines • Ensure accurate CPT (80000 series) and ICD-10 coding for laboratory procedures in compliance with payer, Medicare, and Medicaid requirements • Oversee claim edits, denials, appeals, and reimbursement optimization • Establish and maintain SOPs, KPIs, and billing workflows to improve accuracy and compliance • Collaborate with laboratory operations, finance, and IT to resolve billing or system issues • Identify manual processes and lead efforts to automate or rebuild them • Build, analyze, and present RCM and financial performance reports to leadership • Track net collections, days in A/R, aging, denial trends, reimbursement variance, underpayments, bad debt, and team productivity • Stay current on payer policy changes, CLIA regulations, and healthcare billing compliance • Serve as the escalation point for complex billing or client issues • Perform other related duties as assigned

🎯 Requisitos

• At least three years owning or performing the full revenue cycle, from charge capture and claim submission through payment posting, denials management, and final A/R resolution • At least one year of clinical laboratory billing experience (molecular diagnostics, toxicology, or general clinical lab) • At least one year of hands-on AdvancedMD experience supporting revenue-cycle workflows, including claims, payment posting, denials, reporting, or A/R management • Experience building financial and RCM performance reports and presenting them to leadership • Working knowledge of CPT (80000 series) and ICD-10 coding for laboratory procedures • Experience supervising a billing team • Current residence in Idaho, Nevada, Utah, Colorado, Arizona, or Texas • Ability to work Monday–Friday, 9:00 a.m.–5:00 p.m. Mountain Time consistently • Direct application and availability for full-time W2 employment; no C2C, 1099, or third-party submissions • Employment contingent upon successful completion of a background check and other pre-employment screenings • Preferred: Experience automating or rebuilding billing workflows • Preferred: Certified Professional Coder (CPC) • Preferred: Experience managing offshore billing teams • Preferred: Associate's or Bachelor's degree in Business, Healthcare Administration, or a related field

🏖️ Benefícios

• Health, Dental, and Vision Insurance • Paid Time Off (21 days annually for full-time team members) • 7 Paid Holidays • 401(k) with 50% Company Match up to 6% • Health Savings Account (HSA) • Short-Term & Long-Term Disability (RML covers 60% of STD premium) • Voluntary Life and AD&D Insurance • 100% Company-Funded Employee Assistance Program (EAP)

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