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Labcorp logo
Labcorp

In Pursuit of Answers

RCM Specialty Testing Revenue Analyst

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+Since 1969H1B SponsorCompany SiteLinkedIn

Location

North Carolina

Posted

79 days ago

Salary

$55K - $90K / year

Seniority

Senior

Bachelor Degree6 yrs expEnglish

Job Description

RCM Specialty Testing Revenue Analyst

Labcorp

• 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 and 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

Job Requirements

  • 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
  • 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
  • Proficiency in Microsoft Excel, including PivotTables, lookups, and data analysis functions
  • Experience analyzing and manipulating large datasets

Benefits

  • Medical
  • Dental
  • Vision
  • Life
  • STD/LTD
  • 401(k)
  • Paid Time Off (PTO) or Flexible Time Off (FTO)
  • Tuition Reimbursement
  • Employee Stock Purchase Plan

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