Note: Level and title may be adjusted based on experience and scope alignment.
This role is responsible for overseeing day-to-day billing operations and supporting the performance, development, and efficiency of the billing team. This position partners cross-functionally to ensure timely and accurate claims processing, payment posting, denial management, appeals, and reconciliation activities across the revenue cycle.
Success in this role requires a strong focus on operational excellence through process improvement, vendor partnership management, workflow oversight, and team development within a fast-paced laboratory billing environment.
WHAT YOU'LL DO:
- Oversee revenue cycle workflows including pre-billing, claims processing, appeals, denial management, payment posting, and monthly reconciliation activities.
- Support timely and accurate prior authorization submission processes, including researching payer requirements and maintaining billing system updates related to authorization workflows.
- Monitor denials and denial trends to identify root causes, recommend process improvements, and support reimbursement optimization efforts.
- Serve as the primary liaison for billing software vendors, including issue resolution, maintenance coordination, testing, and system updates.
- Partner with Managed Care and cross-functional teams to investigate claims processing issues for contracted and non-contracted payers and support resolution efforts.
- Oversee patient billing activities including statements, payment inquiries, and financial assistance processes.
- Monitor billing performance metrics, productivity, and workflow effectiveness to support operational goals and service standards.
- Support onboarding, training, coaching, and ongoing development of billing team members.
- Assist with billing-related audits, reporting, and special projects as assigned.
WHAT YOU'LL BRING:
- Strong written and verbal communication skills.
- Demonstrated leadership experience, including coaching, staff development, and performance management.
- Ability to adapt quickly in a fast-paced and evolving environment while maintaining a strong sense of urgency.
- Strong organizational skills with exceptional attention to detail.
- Ability to manage competing priorities and deadlines effectively.
- Experience analyzing data, monitoring key performance metrics, and identifying operational improvement opportunities.
- Working knowledge of specialty billing practices, including payer requirements, CPT/ICD-10 coding, claims workflows, and CMS regulations.
- Ability to maintain confidentiality and appropriately handle sensitive financial and patient information.
- Strong problem-solving skills with the ability to navigate challenging or escalated situations professionally.
- Ability to collaborate effectively across departments and external partners.
EDUCATION & EXPERIENCE:
- Undergraduate Degree preferred
- 5+ years of progressive billing or revenue cycle experience, including leadership or supervisory responsibilities.
- Experience within fee-for-service medical billing required; laboratory billing experience strongly preferred.
- Experience managing escalated billing or customer service issues preferred.
- Experience with payer portals, billing systems, clearinghouse platforms, and revenue cycle technology tools preferred.
WHAT YOU'LL GET:
- Compensation range: $80,000 - $91.000
- Discretionary Bonus opportunity
- Comprehensive health coverage: Medical, Dental, and Vision
- Insurance: Short/Long Term Disability and Life Insurance
- Financial benefits: 401(k), Flex Spending Account
- 120 hours of annual vacation
- 72 hours of paid sick time off
- 11 paid holidays + 3 floating holidays
- Employee Assistance Program
- Voluntary Benefits
- Employee recognition program
Individual base compensation is based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related aspects.
Biodesix is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
