Location: West Hills, CA
Employment Type: Full-Time, On Site M-F
Department: Revenue Cycle / Billing Operations
Reports To: VP Operations
Position SummaryUnited WestLabs is seeking an experienced Front-End Revenue Cycle Manager to oversee and optimize front-end revenue cycle operations, including Data QC insurance verification, authorization, and eligibility workflows. This role is critical to ensuring accurate patient data capture, maximizing clean claim rates, reducing denials, and supporting a positive patient financial experience in a high-volume laboratory healthcare environment.
Key Responsibilities- Lead and manage front-end revenue cycle functions, including:
- Patient registration and demographic accuracy
- Insurance verification and eligibility
- Prior authorizations and referrals
- Ensure compliance with payer, regulatory, and billing requirements (Medicare, Medicaid, commercial payers).
- Monitor front-end KPIs such as registration accuracy rates, denial trends related to front-end errors, and authorization turnaround times.
- Develop and implement standard operating procedures and workflow improvements to improve revenue capture and reduce downstream billing issues.
- Collaborate closely with billing, coding, collections, client services, and clinical teams to resolve systemic revenue cycle issues.
- Train, coach, and evaluate front-end staff to ensure productivity, accuracy, and compliance standards are met.
- Analyze reports and trends to identify risks, revenue leakage, and opportunities for process optimization.
- Support revenue cycle audits and payer reviews related to front-end processes.
QualificationsRequired:- 5+ years of experience in revenue cycle operations, with a strong focus on front-end functions.
- 2+ years in a supervisory or management role within healthcare billing or revenue cycle.
- Extensive knowledge of insurance verification, authorizations, payer rules, and denial prevention.
- Experience working with healthcare billing systems and EHR/PM platforms (EPIC experience a plus)
Preferred:- Laboratory and/or diagnostic, billing experience.
- CPC, CPB, CRCR, or similar revenue cycle certification.
- Strong analytical, leadership, and cross-functional communication skills.
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field (or equivalent experience).
Benefits - Medical, dental, and vision insurance
- 401(k) with company match
- Paid time off and paid holidays
- Professional development opportunities
- Competitive healthcare-focused culture with growth potential
