Revenue Cycle Billing Supervisor

Job Summary- The RCM Billing Supervisor for Toxicology and Molecular Diagnostics is responsible for managing the end-to-end billing operations for specialized lab services. This includes overseeing claim submissions, denial management, payer compliance, and team performance. The role requires deep expertise in lab-specific CPT/HCPCS codes, payer policies, and evolving molecular testing regulations. Key Responsibilities Billing Oversight Supervise daily billing operations for toxicology (e.g., drug screening, confirmation testing) and molecular diagnostics (e.g., PCR, genetic testing). Ensure accurate charge capture and timely claim submission. Monitor clearinghouse rejections and resolve coding or modifier issues. Team Management Lead and mentor billing staff; conduct training on lab-specific billing protocols. Develop SOPs for toxicology and molecular diagnostics billing workflows. Conduct performance reviews and support staff development. Denial & AR Management Analyze denial trends (e.g., PR-55, CO-197) and implement corrective actions. Oversee AR follow-up and ensure timely resolution of unpaid or underpaid claims. Collaborate with payers and labs to resolve complex billing issues. Compliance & Quality Ensure compliance with CMS, CLIA, and payer‑specific lab billing guidelines. Stay current with changes in molecular diagnostics billing (e.g., PLA codes, NCDs). Conduct internal audits to ensure coding accuracy and documentation integrity. Reporting & Analytics Track KPIs such as Clean Claim Rate, Denial Rate, and DSO. Generate monthly reports and present insights to leadership. Recommend process improvements based on data trends. Qualifications Bachelor’s degree or appropriate accreditation in Healthcare Administration, Business, or related field. 3–5 years of experience in lab billing, with at least 2 years in toxicology or molecular diagnostics. Prior supervisory experience in a healthcare billing environment. Education & Experience Bachelor’s degree or appropriate accreditation in Healthcare Administration, Business, or related field. 3–5 years of experience in lab billing, with at least 2 years in toxicology or molecular diagnostics. Prior supervisory experience in a healthcare billing environment. Skills & Knowledge Strong knowledge of CPT codes (e.g., 80305–80307, G0480–G0483, 814xx series). Familiarity with payer‑specific rules for high‑complexity lab testing. Prior Xifin experience is preferred. Proficiency in LIS, billing software, and clearinghouse platforms. Excellent leadership, communication, and analytical skills. #J-18808-Ljbffr Acutis Diagnostics