Laboratory Revenue Cycle Systems Manager
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Laboratory Revenue Cycle Systems Manager

Glen Allen, VA

At GENETWORx Laboratory, we improve the health and wellness of lives around the world through dedicated research, experienced scientists, 21-st century technology, and in-depth diagnostics. Healthcare is personal and as such, the future needs to be, too. By intersecting genetic testing with personalized medicine and pharmacogenomics, we’re positioning our patients and empowering physicians with more precise, individualized, effective results.
As a leader in precision COVID-19 testing, GENETWORx provides unparalleled support, results, and clarity during these uncertain times. GENETWORx has armed healthcare providers, employers and universities with rapid and accurate COVID-19 diagnostic and antibody testing which is essential for reopening businesses and communities.

Summary

GENETWORx is looking for an experienced Laboratory Revenue Cycle Systems Manager to join our growing lab team. In this role you will drive revenue cycle optimization by maintaining an accurate and compliant laboratory medical billing system, ensuring all federal, state, and payer regulations are met. You’ll focus on operational excellence, providing guidance and oversight of the entire revenue cycle lifecycle. Customer service is key to ensure all customer's questions/concerns are addressed in a timely and efficient manner.

Responsibilities

  • Perform technical work related to system integration while being a hands-on Manager in the Laboratory billing system (XIFIN) for the Revenue Cycle
  • Manage, plan, develop and provide technical oversight for system integration between core business systems including, but not limited to, the laboratory information, billing, eligibility and payment processing systems
  • Identify resources and establish project objectives, schedules, milestones, and standards for integration architecture
  • Identify technical obstacles and manage complex troubleshooting efforts within the team while being able to quickly understand business needs and translate those needs into technical solutions
  • Lead system and reporting analysts with a focus on automation opportunity and security protocols
  • Enhance existing integration platform offerings
  • Maintain proper documentation for all integration processes and develop change control processes
  • Ensure all insurance/provider contracts are loaded accurately and timely into the billing system
  • Maintain all ANSI X12 formats (277, 837, 835, etc.) to ensure medical billing and cash posting is accurate
  • Work closely with the lab revenue cycle team to resolve any day-to-day medical billing issues
  • Act as a subject matter expert for the entire revenue cycle process from the LIS to the billing system and all integrations in-between
  • Work closely with billing software vendor to ensure all patching/enhancements are properly tested from end to end
  • Independently manage daily process/functions for assigned tasks
  • Review/identify/analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes
  • Recommend new, or modifications of, internal processes to improve workflow, customer satisfaction and product quality
  • Work closely with BI to ensure data needs/requests are accurately defined
  • Identify root cause issues and escalate to supervisor and revenue cycle as appropriate

Qualifications

  • Bachelor's degree in computer science or related field or 5+ years in IS support
  • Revenue cycle management, healthcare accounting, or advanced medical billing experience
  • Careful attention to detail, patience, and ability to multi-task
  • Laboratory setting experience preferred

Compensation: TBD

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