Revenue Cycle Manager – Clinical Lab Billing
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Job Description
Revenue Cycle Manager leading clinical laboratory billing and reimbursement operations at Rocky Mountain Laboratories. Managing a 40-person billing organization, compliance, denials, reporting, and revenue-cycle improvement.
Responsibilities:
- 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
Requirements:
- 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
Benefits:
- 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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