JOB LOCATION: Louisville, CO - Hybrid
3 days on-site | 2 days remote
THE ROLE:Note: Level and title may be adjusted based on experience and scope alignment.
This role is responsible for overseeing day-to-day billing operations and supporting the performance, development, and efficiency of the billing team. This position partners cross-functionally to ensure timely and accurate claims processing, payment posting, denial management, appeals, and reconciliation activities across the revenue cycle.
Success in this role requires a strong focus on operational excellence through process improvement, vendor partnership management, workflow oversight, and team development within a fast-paced laboratory billing environment.
WHAT YOU'LL DO:- Oversee revenue cycle workflows including pre-billing, claims processing, appeals, denial management, payment posting, and monthly reconciliation activities.
- Support timely and accurate prior authorization submission processes, including researching payer requirements and maintaining billing system updates related to authorization workflows.
- Monitor denials and denial trends to identify root causes, recommend process improvements, and support reimbursement optimization efforts.
- Serve as the primary liaison for billing software vendors, including issue resolution, maintenance coordination, testing, and system updates.
- Partner with Managed Care and cross-functional teams to investigate claims processing issues for contracted and non-contracted payers and support resolution efforts.
- Oversee patient billing activities including statements, payment inquiries, and financial assistance processes.
- Monitor billing performance metrics, productivity, and workflow effectiveness to support operational goals and service standards.
- Support onboarding, training, coaching, and ongoing development of billing team members.
- Assist with billing-related audits, reporting, and special projects as assigned.
WHAT YOU'LL BRING: - Strong written and verbal communication skills.
- Demonstrated leadership experience, including coaching, staff development, and performance management.
- Ability to adapt quickly in a fast-paced and evolving environment while maintaining a strong sense of urgency.
- Strong organizational skills with exceptional attention to detail.
- Ability to manage competing priorities and deadlines effectively.
- Experience analyzing data, monitoring key performance metrics, and identifying operational improvement opportunities.
- Working knowledge of specialty billing practices, including payer requirements, CPT/ICD-10 coding, claims workflows, and CMS regulations.
- Ability to maintain confidentiality and appropriately handle sensitive financial and patient information.
- Strong problem-solving skills with the ability to navigate challenging or escalated situations professionally.
- Ability to collaborate effectively across departments and external partners.
EDUCATION & EXPERIENCE: - Undergraduate Degree preferred
- 5+ years of progressive billing or revenue cycle experience, including leadership or supervisory responsibilities.
- Experience within fee-for-service medical billing required; laboratory billing experience strongly preferred.
- Experience managing escalated billing or customer service issues preferred.
- Experience with payer portals, billing systems, clearinghouse platforms, and revenue cycle technology tools preferred.
WHAT YOU'LL GET:
- Compensation range: $80,000 - $91.000
- Discretionary Bonus opportunity
- Comprehensive health coverage: Medical, Dental, and Vision
- Insurance: Short/Long Term Disability and Life Insurance
- Financial benefits: 401(k), Flex Spending Account
- 120 hours of annual vacation
- 72 hours of paid sick time off
- 11 paid holidays + 3 floating holidays
- Employee Assistance Program
- Voluntary Benefits
- Employee recognition program
Individual base compensation is based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related aspects.
