Healthcare Revenue Cycle Management (RCM) Consultant - Laboratory Billing

Healthcare Revenue Cycle Management (RCM) Consultant – Laboratory Billing

Location: Remote (U.S-based)

Type: Contract

About the Role:

BigRio LLC is seeking an experienced Revenue Cycle Management Consultant to support our clients in genetic testing and diagnostics. This role optimizes billing operations, improves payer reimbursement, and reduces revenue leakage—particularly for high-complexity lab services.

The ideal candidate has a strong background in laboratory billing, with hands-on experience navigating payer requirements for genetic and molecular testing. This is a client-facing role, ideal for someone who can assess, advise, and implement RCM best practices in fast-paced, growth-oriented lab environments.

Key Responsibilities:

• Evaluate and enhance full-cycle billing and reimbursement processes for laboratory services
• Identify denial trends, underpayments, and revenue leakage; implement corrective actions
• Support genetic and molecular test coding, billing compliance, and payer engagement
• Advise clients on prior authorizations, documentation standards, and eligibility workflows
• Collaborate with client teams (finance, operations, compliance) to align billing strategies
• Provide RCM performance insights through data analysis and reporting
• Recommend improvements to existing RCM systems and technology platforms

Qualifications:

• 5+ years of RCM experience in clinical or molecular/genetic laboratories
• In-depth understanding of payer billing practices and reimbursement models for lab services
• Strong knowledge of CPT/HCPCS coding, pre-authorization, and claims management
• Familiarity with lab billing systems (e.g., Xifin, Telcor, CollaborateMD, Waystar)
• Proven ability to reduce denials and accelerate collections
• Comfortable working in a client-facing consulting role

Bachelor's degree preferred; relevant certifications a plus (e.g., CRCS, CMRS, CPC)