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Rocky Mountain Laboratories

Third-party clinical laboratory providing diagnostic testing

Revenue Cycle Manager - Clinical Lab Billing

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeRemote in USA$90k - $130k /yr

About the Job

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 accounts receivable resolution.
  • At least one year of clinical laboratory billing experience in molecular diagnostics, toxicology, or general clinical laboratory billing.
  • At least one year of hands-on AdvancedMD experience supporting revenue-cycle workflows, including claims, payment posting, denials, reporting, or accounts receivable management.
  • Experience building financial and revenue-cycle performance reports and presenting them to leadership.
  • Working knowledge of Current Procedural Terminology (CPT) 80000-series and International Classification of Diseases, Tenth Revision (ICD-10) coding for laboratory procedures.
  • Experience supervising a billing team.
  • Current residence in Idaho, Nevada, Utah, Colorado, Arizona, or Texas.

Responsibilities

  • Manage the end-to-end laboratory revenue cycle, including charge capture, claim submission, payment posting, and accounts receivable follow-up.
  • Lead a billing organization of approximately 40 team members, including offshore medical billing specialists and team leads.
  • 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 standard operating procedures, key performance indicators, and billing workflows to improve accuracy and compliance.
  • Collaborate with laboratory operations, finance, and information technology to resolve billing or system issues.
  • Identify manual processes across the revenue cycle and lead efforts to automate or rebuild them in partnership with laboratory operations, finance, and information technology.
  • Build, analyze, and present revenue-cycle and financial performance reports to leadership, including net collections, days in accounts receivable, aging, denial trends, reimbursement variance, underpayments, bad debt, and team productivity.
  • Stay current on payer policy changes, Clinical Laboratory Improvement Amendments regulations, and healthcare billing compliance.
  • Serve as the escalation point for complex billing or client issues.
  • Perform other related duties as assigned.

Desired Qualifications

  • Experience automating or rebuilding billing workflows, such as claim-scrubbing rules, automated payment posting, eligibility verification, or reporting.
  • Certified Professional Coder credential.
  • Experience managing offshore billing teams.
  • Associate's or Bachelor's degree in Business, Healthcare Administration, or a related field.

About the Company

Rocky Mountain Laboratories

Third-party clinical laboratory providing diagnostic testing

Rocky Mountain Laboratories provides diagnostic testing services to healthcare providers through a network of clinical laboratories in Utah, Nevada, Idaho, Colorado, Arizona, and Texas, acting as a third-party diagnostic service that integrates with providers’ workflows. It performs a wide range of tests, including infectious disease PCR/RT-PCR, toxicology, chemistry, immunology, hematology, microscopy, and coagulation, and offers genetic profiling and metabolic health assessments, with a workflow that includes same-day sample pickups and phlebotomy collection via its staff, plus an online payments portal. Its broad, vendor-neutral test menu and field support help clinicians diagnose patients quickly and accurately, differentiating itself by fitting into clinicians’ routines rather than pushing a single-method approach. The goal is to enable fast, accurate diagnoses for patients by providing comprehensive laboratory testing that easily plugs into existing healthcare workflows.

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