Revenue Cycle Specialist

Role Description

MyOme is seeking a high-energy, detail-oriented Revenue Cycle Specialist to join our growing Revenue Cycle Management (RCM) team. This is a tactical, hands-on role focused on claim and denials management, appeals, and the manual administrative work that keeps a high-performing billing operation running.

You’ll spend your days inside RCM systems, payor portals, and clearinghouses — working claims, resolving denials, and turning friction into revenue. This role is ideal for a rising star with a few years of laboratory or diagnostic billing experience who is looking to take ownership of meaningful work in a fast-growing genomics company.

You’ll report directly to the Head of Revenue Cycle Management and work alongside a small, focused team where your output is highly visible and your impact is immediate.

What You'll Do:

• Own day-to-day claim and denials management across MyOme’s book of business, working claims through resolution in our RCM system and payor portals.
• Investigate and resolve both front-end and back-end rejections and denials, identifying root causes and partnering with internal teams to prevent recurrence.
• Draft, submit, and track appeals across commercial and government payors, including out-of-network claim scenarios, with strong documentation and follow-through.
• Work denials across the full category spectrum — prior authorization, medical necessity, timely filing, eligibility, coordination of benefits, and non-covered services — escalating systemic issues with proposed solutions.
• Navigate clearinghouses (e.g., Change Healthcare/Optum, Availity) and payor portals to verify eligibility, check claim status, and pull EOBs and remittance detail.
• Execute the manual, time-consuming administrative billing tasks that keep the operation moving — demographic and insurance corrections, claim resubmissions, payor follow-up calls, and documentation upload.
• Maintain meticulous notes and worklog hygiene in the RCM system so that every claim has a clear audit trail.
• Surface trends in denial reasons, payor behavior, and process gaps to the Head of RCM and contribute ideas for workflow improvements.
• Collaborate with Customer Support, Clinical Operations, and Lab teams to resolve the upstream issues that drive downstream denials.

Qualifications

• 2–5 years of revenue cycle, billing, or claims experience in a laboratory, diagnostic, or genetic testing environment (currently working at a peer lab is a strong plus).
• Hands-on experience with Xifin strongly preferred; experience with other lab RCM systems or clearinghouses (Change Healthcare/Optum, Availity, payor portals) will also be considered.
• Demonstrated experience working claims for out-of-network providers with commercial payors.
• Working knowledge of both front-end and back-end rejections and denials, and a proven track record of successful appeals.
• Required working knowledge of the following denial categories:
  • Prior authorization
  • Medical necessity
  • Timely filing
  • Eligibility
  • Coordination of benefits
  • Non-covered services
• Sharp attention to detail and the patience to work high volumes of detailed administrative tasks without losing accuracy.
• High-energy, go-getter mentality — you take initiative, you don’t wait to be told what to do next, and you close loops.
• Strong written and verbal communication skills, including the ability to write clear, persuasive appeal letters.
• Comfort with ambiguity and a willingness to roll up your sleeves in a small, fast-moving team.
• Proficient in Google Workspace, Excel, and modern RCM/billing tooling.

Location, Compensation, and Benefits

• Location: Remote in the US
• Compensation: Annual salary range is $70,000 - $90,000 and will be determined based on experience.
• San Francisco Bay Area pay range: $70,000 — $90,000 USD

Benefits

• Comprehensive healthcare coverage (Health, Dental, and Vision)
• 401K
• Unlimited PTO
• Professional development opportunities
• Company-sponsored off-sites and team meals during in-person meetings
• Direct access to company leadership and the opportunity for career growth

Diversity, Inclusion, and Equal Opportunity

MyOme values diversity in all forms. We believe that diverse perspectives drive better science and better patient outcomes. We are an Equal Opportunity Employer committed to creating an inclusive workplace that empowers every individual.

Why Work at MyOme?

• Want to make an impact at the intersection of healthcare and technology, changing the way people engage with their health at the genetic level
• Enjoy rolling up your sleeves, taking initiative, and being empowered to lead
• Value humility, transparency, and collaborative problem-solving
• Thrive in fast-moving, dynamic environments with smart, driven teammates
• Appreciate competitive compensation, meaningful equity, and excellent benefits

Learn More: myome.com