Labcorp

RCM Specialty Testing Revenue Analyst

Labcorp

full-time

Posted on:

Location Type: Remote

Location: North Carolina • United States

Visit company website

Explore more

✨ AI Apply
Apply

Salary

💰 $55,000 - $90,000 per year

About the role

  • 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

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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
healthcare billingdenials analysisappeals processingunderpayments analysispayment variance analysisCPT codingICD-10 codingHCPCS codingprior authorizationdata analysis
Soft Skills
analytical skillsproblem-solvingcommunicationcollaborationjudgmentorganizational skillsproject managementdata-driven decision-makingstakeholder managementworkflow improvement