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Revenue Cycle Manager

Revenue Cycle Manager

Rocky Mountain LaboratoriesDraper, UT, US
4 days ago
Job type
  • Full-time
Job description

Revenue Cycle Manager (RCM)

Rocky Mountain Laboratories specializes in molecular diagnostics for infectious diseases and toxicology. We are dedicated to delivering accurate and timely diagnostic information and are committed to improving healthcare outcomes through cutting-edge diagnostics and a customer-focused approach.

Position

The Revenue Cycle Manager (RCM) oversees all aspects of laboratory billing operations, including direct supervision of our offshore billing team based in the Philippines. This role ensures timely and accurate claims submission, proper coding, revenue cycle optimization, and payer compliance. The ideal candidate has extensive experience in laboratory billing, proven leadership skills, and is a Certified Professional Coder (CPC).

Responsibilities

  • Supervise and lead a billing team of ~40 individuals, including offshore team members in the Philippines
  • Oversee the end-to-end billing process for molecular diagnostics and toxicology services
  • Ensure accurate CPT and ICD-10 coding for all laboratory procedures in compliance with payer requirements
  • Manage denials, appeals, and reimbursement issues within required timelines to optimize revenue cycle performance
  • Develop and maintain billing policies, workflows, and training to improve efficiency and compliance
  • Collaborate with the laboratory, finance, and IT departments to resolve billing-related concerns
  • Analyze billing data and generate reports to identify trends and areas for improvement
  • Maintain up-to-date knowledge of billing regulations, payer changes, and industry standards
  • Serve as a point of escalation for complex billing issues or client concerns
  • Perform other duties as assigned by management

Qualifications

  • Minimum of 3 years of direct experience in clinical laboratory billing (molecular / toxicology preferred)
  • Minimum of 3 years of supervisory / leadership experience managing at least 15 direct reports
  • Strong understanding of laboratory billing guidelines, CPT, ICD-10, and payer-specific requirements
  • Demonstrated leadership ability, including experience managing offshore or remote teams
  • Excellent organizational, communication, and problem-solving skills
  • Hands-on experience with medical billing and EHR systems (AdvancedMD or similar preferred)
  • Ability to analyze data, generate reports, and drive process improvements
  • Comfortable working in a fast-paced, compliance-driven environment
  • Education

  • Certified Professional Coder (CPC) Required
  • Associate's or Bachelor's degree in business, healthcare administration, or related field preferred
  • Schedule

  • Monday to Friday, 9 : 00 AM 5 : 00 PM MDT
  • Hybrid schedule : Candidates must be based in Utah, Arizona, or Texas and able to commute to one of our locations : Draper, UT; Tempe, AZ; or Austin, TX, offices a few times each month.
  • Job Type

    Full-time, W2

    Salary

    $90,000 $130,000 annually, depending on experience (final offer determined by the hiring manager, not the recruiter) Relocation assistance available on a case-by-case basis

    Benefits for Full-Time W2 Employees

  • Health, Dental, and Vision Insurance
  • Paid Time Off (21 days annually for employees working 40+ hours per week)
  • 7 Paid Holidays
  • 401k
  • HSA
  • Short-term & Long-term Disability
  • Voluntary Life Insurance AD&D
  • Benefits begin 60 days after the first full month of employment
  • Ability to Commute / Relocate

  • Draper, UT; Tempe, AZ; or Austin, TX : Reliably commute or plan to relocate before starting (Required)
  • Ideal Start Date

    As soon as the right candidate is identified

    Application Deadline

    Applications are reviewed on a rolling basis, and the position may be filled before any stated deadline.

    If you meet the above qualifications and are interested in joining our team, please submit your resume for consideration. We look forward to hearing from you!

    At Rocky Mountain Laboratories, we prioritize the care and well-being of our team members.

    Equal Opportunity Employer Statement

    Rocky Mountain Laboratories is an Equal Opportunity Employer committed to diversity in its workforce. We comply with all applicable federal and state laws and prohibit discrimination based on race, ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, veteran status, disability, or genetic information. We also comply with the Americans with Disabilities Act (ADA) and provide reasonable accommodations to qualified individuals with disabilities.

    Pre-Employment Notice & E-Verify

    Rocky Mountain Laboratories participates in E-Verify. Employment is contingent upon successful completion of a background check and other pre-employment screenings, as required. Employment with Rocky Mountain Laboratories is at-will. This means either the Team Member or the company may end the employment relationship at any time, with or without cause or notice, in accordance with applicable laws. Nothing in this posting or in future communications alters that relationship.

    Staffing Agencies

    While we appreciate interest from staffing agencies, Rocky Mountain Laboratories does not currently partner with external agencies. Resumes submitted unsolicited will not be considered, and no fees will be paid.

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