Revenue Cycle Manager-Lab-Pre Submission

We are seeking an experienced Revenue Cycle Management (RCM) professional to support ourdiagnostic laboratory specializing in women’s health, toxicology, and genetic testing. This rolefocuses on pre-submission, claim scrubbing, and coding accuracy, ensuring every claim isclean, compliant, and optimized for timely reimbursement.Responsibilities: Review and scrub claims prior to submission to ensure all patient, provider,CPT, and diagnosis information is accurate and complete. Validate CPT and ICD-10 codes for accuracy and medical necessity inaccordance with payer and CMS guidelines. Identify claim errors, discrepancies, or missing data and coordinate withinternal and external teams (including outsourced billing teams, sales reps,clinical teams, phlebotomists, and lab IT) to correct and resubmit. Maintain up-to-date knowledge of payer-specific policies, modifiers, LCD/NCDcoding rules, and compliance standards for molecular and diagnostic testing. Work cross-functionally to ensure claims are optimized for clean submissionand prevent denials or delays. Prepare summary reports and performance metrics for stakeholders andleadership, highlighting recurring issues or process improvements. Support internal training and provide feedback loops to ensure ongoing codingaccuracy and RCM process efficiency.Qualifications: 2 years of experience in RCM, medical billing, or coding (laboratoryexperience strongly preferred). Strong working knowledge of CPT, ICD-10, and HCPCS coding, particularlywithin molecular diagnostics, toxicology, and women’s health. Familiarity with claim scrubbing software, EHRs, and clearinghouses. Understanding of payer policies, prior authorization workflows, and claimsubmission protocols. Experience collaborating with multi-departmental teams and external partners. Certification such as CPC, COC, or equivalent preferred but not required.Personal Skills: Detail-oriented with strong analytical and problem-solving skills. Excellent written and verbal communication. Ability to manage multiple priorities and meet tight deadlines. Proactive mindset with a passion for accuracy and compliance. Self-driven, reliable, and comfortable working both independently andcollaborativelyWork Location: In person

Salary : $100,000 - $150,000