[Hiring] RCM Specialty Testing Revenue Analyst @Labcorp
Role Description
Labcorp is seeking a REMOTE RCM Specialty Testing Revenue Analyst to join our team!
Work Schedule: Monday – Friday; 8:30am-5:00pm EST
• Provide analytical and operational support for Specialty Testing accounts receivable and reimbursement to improve denial operations workflows and processes
• Research denials/claim issues for root cause and provide suggestions for resolution
• Manage internal override inventory for prompt resolution
• Serve as an internal conduit to gather, share, and report information related to specialty billing workflows, system behavior, and claims outcomes
• Research issues to determine impacted scope of claims
• Coordinate with operations/reporting team to identify and quantify impacts
• Coordinate with operations/reporting team to develop and communicate workflow projects
• Learn and navigate multiple laboratory systems and billing platforms; apply system workflows to billing processes to ensure expected outcomes
• Conduct research, data mining, evaluation, and validation of complex specialty testing datasets to identify trends and support data‑driven decision‑making
• Manage information requests from cross‑functional stakeholders, keeping them informed of reimbursement issues and changes
• Exercise sound judgment in making decisions that have long‑term organizational impact
• Build and maintain datasets and databases for routine and ad hoc reporting
• Recommend new or improved workflows for complex billing processes to maximize cash collections
• Contribute to the development, documentation, and implementation of workflow processes (e.g., appeals, prior authorizations, specialty support activities)
• Proactively identify and resolve broad issues affecting specialty testing billing performance
• Collaborate across Revenue Cycle Management functions to drive improvements, enhance effectiveness, and promote best practices
• Apply diverse technical skills to understand laboratory systems, data structures, and workflows across Labcorp and specialty testing environments
• Translate LCLS/LCBS data for use in specialty testing analysis and projects (a plus)
• Support management and peers by taking on additional projects as needed
Qualifications
• Bachelor’s degree with 6 years’ healthcare billing experience or Associate degree with 8 years healthcare billing experience or HS diploma or GED with 10 years healthcare billing experience
Requirements
• 3 or more years experience with MS Excel
• 3 or more years experience working with denials, appeals, underpayments, and payment variance analysis
• 3 or more years Accounts Receivables healthcare billing
• 3 or more years experience with CPT, ICD‑10, and HCPCS coding
• 3 or more years experience in Medicare, Medicaid, and commercial payer reimbursement methodologies
• 3 or more years experience in prior authorization, medical necessity, and payer denial
• 1 or more years Xifin RPM and BI experience
Benefits
• Medical, Dental, Vision, Life, STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan
Company Description
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives!
Apply tot his job
Apply To this Job
Labcorp is seeking a REMOTE RCM Specialty Testing Revenue Analyst to join our team!
Work Schedule: Monday – Friday; 8:30am-5:00pm EST
• Provide analytical and operational support for Specialty Testing accounts receivable and reimbursement to improve denial operations workflows and processes
• Research denials/claim issues for root cause and provide suggestions for resolution
• Manage internal override inventory for prompt resolution
• Serve as an internal conduit to gather, share, and report information related to specialty billing workflows, system behavior, and claims outcomes
• Research issues to determine impacted scope of claims
• Coordinate with operations/reporting team to identify and quantify impacts
• Coordinate with operations/reporting team to develop and communicate workflow projects
• Learn and navigate multiple laboratory systems and billing platforms; apply system workflows to billing processes to ensure expected outcomes
• Conduct research, data mining, evaluation, and validation of complex specialty testing datasets to identify trends and support data‑driven decision‑making
• Manage information requests from cross‑functional stakeholders, keeping them informed of reimbursement issues and changes
• Exercise sound judgment in making decisions that have long‑term organizational impact
• Build and maintain datasets and databases for routine and ad hoc reporting
• Recommend new or improved workflows for complex billing processes to maximize cash collections
• Contribute to the development, documentation, and implementation of workflow processes (e.g., appeals, prior authorizations, specialty support activities)
• Proactively identify and resolve broad issues affecting specialty testing billing performance
• Collaborate across Revenue Cycle Management functions to drive improvements, enhance effectiveness, and promote best practices
• Apply diverse technical skills to understand laboratory systems, data structures, and workflows across Labcorp and specialty testing environments
• Translate LCLS/LCBS data for use in specialty testing analysis and projects (a plus)
• Support management and peers by taking on additional projects as needed
Qualifications
• Bachelor’s degree with 6 years’ healthcare billing experience or Associate degree with 8 years healthcare billing experience or HS diploma or GED with 10 years healthcare billing experience
Requirements
• 3 or more years experience with MS Excel
• 3 or more years experience working with denials, appeals, underpayments, and payment variance analysis
• 3 or more years Accounts Receivables healthcare billing
• 3 or more years experience with CPT, ICD‑10, and HCPCS coding
• 3 or more years experience in Medicare, Medicaid, and commercial payer reimbursement methodologies
• 3 or more years experience in prior authorization, medical necessity, and payer denial
• 1 or more years Xifin RPM and BI experience
Benefits
• Medical, Dental, Vision, Life, STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan
Company Description
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives!
Apply tot his job
Apply To this Job