CLINICAL LAB AR Manager
INTEGRATED MEDICAL SERVICES
- Phoenix, Arizona, United States
- Phoenix, Arizona, United States
Über
Manage the end-to-end processing of laboratory invoices, tracking "aging buckets" (outstanding payments over 30, 60, or 90 days), and maximizing cash flow. Manage revenue cycle by identifying insurance companies rejecting laboratory claims (e.g., incorrect diagnosis coding or lack of medical necessity) and leading teams to correct and appeal the claims. Ensure all billing practices are strictly aligned with healthcare laws, payer contracts, and government regulations such as HIPAA. Manage payor and system reconciliation to resolve complex payment discrepancies between the lab's information system (LIS) and various health insurance portals. Project Leadership & Execution: Oversee all project stages, including scope definition, planning, and task management. Ensure that deliverables meet quality standards and are completed on schedule. Client & Stakeholder Communication: Serve as the primary point of contact for sponsors, physicians, and internal laboratory functions, lead kick-off meetings and provide regular status updates to ensure alignment. Financial & Resource Oversight: Proactively monitor study budgets, manage purchase orders, and track expenses to ensure financial performance. Regulatory & Quality Compliance: Ensure all activities strictly adhere to industry standards like Good Laboratory Practice (GLP), ISO, or regulations in collaboration with the Medical Director of the Lab. Risk Management: Independently identify and mitigate potential risks, such as timeline delays, or supply chain issues. Pull reports on tests performed and denials. Work with revenue cycle team and operations to address the denials. Along with OBL reports. Generate reports on orders submitted by providers and help with analysis. Identify potential problem areas, develop a system for objectively monitoring performance and creatively seek solutions to foster quality improvement. Demonstrate knowledge and understanding of patient privacy rights. Maintains confidentiality of all medical, financial, or other sensitive materials and information in printed, electronic or verbal form, which may jeopardize the privacy of patients and/or employees. Actively participates as a member of the interdisciplinary team. Maintains records and prepares reports and correspondence related to work. Perform other duties as assigned.
Required Education and Experience:
Bachelor's degree in healthcare administration, finance, business administration, or a closely related field. 3–5+ years' experience managing medical billing or accounts receivable, with specific experience in laboratory specific billing required. High proficiency in medical coding systems (CPT, ICD-10), electronic health record (EHR) software, and clearinghouses. Ability to maintain records, prepare reports and conduct correspondence related to the work. Ability to communicate with others, both verbally and in writing. The ability to work in a constant state of alertness and in a safe manner.
Joining IMS is more than saying "yes" to making the world a healthier place. It's discovering a career that's challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. *IMS is a tobacco-free work environment IMS is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Sprachkenntnisse
- English
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