RCM Client Billing Manager

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $113k - $136k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 0%

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GeneDx

1001 - 5000 employees

🧬 Biotechnology

🏥 Healthcare

🤖 Artificial Intelligence

Biotechnology • Healthcare • Artificial Intelligence

GeneDx is a biotechnology company dedicated to providing personalized and targeted medical care through genetic diagnosis. Leveraging one of the largest datasets for rare diseases, GeneDx offers advanced testing such as whole genome and exome sequencing. Their diagnostic solutions translate complex genomic information into actionable insights, facilitating personalized health plans, enhancing drug discovery, and improving the efficiency of healthcare systems.

📋 Description

• Oversee the client billing process for diagnostic laboratory services from invoice submission through final resolution • Review and resolve disputed, pending, and aging invoice balances • Ensure invoices comply with client, GeneDx, LSA, guideline, and regulatory requirements • Partner with internal teams and external billing vendors to resolve issues and improve reimbursement outcomes • Coordinate new client setup, existing client updates, and client pricing in billing software • Monitor invoice inventory, accounts receivable performance, and operational metrics • Lead, coach, and develop the Client Billing team • Analyze invoices, identify dispute root causes, and implement process improvements • Communicate with clients, vendors, and internal stakeholders • Prepare reports on client activities, operational performance, reimbursement trends, and team productivity for leadership • Coordinate system implementations, upgrades, process improvements, support, and maintenance • Develop and maintain billing policies, procedures, training materials, and best practices • Set performance expectations, conduct one-on-ones, coach team members, and complete performance reviews • Serve as the first escalation point for team member questions and concerns

🎯 Requirements

• Associate’s degree in healthcare administration, business, finance, or equivalent experience in a related field • 5–7 years of experience in laboratory billing, insurance claims, client billing or revenue cycle management • Strong understanding of insurance claim processes, healthcare regulations, HIPAA, and compliance requirements • Strong critical thinking skills to identify root causes, resolve complex issues, and implement effective solutions • Advanced knowledge of service requirements, adjudication processes, dispute management, and reimbursement methodologies

🏖️ Benefits

• Competitive compensation and benefits reflecting local market practices and legal requirements in each country where GeneDx operates

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