Revenue Cycle Manager – Clinical Lab Billing

Rocky Mountain Laboratories is a clinical laboratory providing comprehensive laboratory services. We are dedicated to delivering accurate and timely diagnostic information and are committed to improving healthcare outcomes through cutting-edge technology and a customer-focused approach.

The Revenue Cycle Manager oversees the full laboratory revenue cycle, billing, and reimbursement operations for molecular diagnostics, toxicology, and other clinical laboratory services. This remote leadership role leads a billing organization of approximately 40 team members, including offshore medical billing specialists and team leads in the Philippines. The manager is accountable for billing performance, coding compliance, denials management, financial reporting, payer follow-up, and continuous revenue-cycle improvement.

• Schedule: Monday–Friday, 9:00 a.m.–5:00 p.m. Mountain Time. Candidates must be able to work these hours consistently.
• 100% Remote — open to candidates in Idaho, Nevada, Utah, Colorado, Arizona, and Texas
• Job Type: Full-time, W2. Direct hire only. No C2C, 1099, or third-party candidate submissions.
• Salary: $90,000 – $130,000 annually, based on experience

• →Manage the full end-to-end laboratory revenue cycle, including charge capture, claim submission, payment posting, and A/R follow-up
• →Lead a billing organization of approximately 40 team members, including offshore medical billing specialists and team leads
• →Ensure accurate CPT (80000 series) and ICD-10 coding for all laboratory procedures in compliance with payer, Medicare, and Medicaid requirements
• →Oversee claim edits, denials, appeals, and reimbursement optimization
• →Establish and maintain SOPs, KPIs, and billing workflows to improve accuracy and compliance
• →Collaborate with laboratory operations, finance, and IT to resolve billing or system issues
• →Identify manual processes across the revenue cycle and lead efforts to automate or rebuild them, partnering with laboratory operations, finance, and IT
• →Build, analyze, and present RCM and financial performance reports to leadership, including net collections, days in A/R, aging, denial trends, reimbursement variance, underpayments, bad debt, and team productivity
• →Stay current on payer policy changes, CLIA regulations, and healthcare billing compliance
• →Serve as the escalation point for complex billing or client issues
• →Perform other related duties as assigned

• At least three years owning or performing the full revenue cycle, from charge capture and claim submission through payment posting, denials management, and final A/R resolution
• At least one year of Clinical laboratory billing experience (molecular diagnostics, toxicology, or general clinical lab)
• At least one year of hands-on AdvancedMD experience supporting revenue-cycle workflows, including claims, payment posting, denials, reporting, or A/R management.
• Experience building financial and RCM performance reports and presenting them to leadership
• Working knowledge of CPT (80000 series) and ICD-10 coding for laboratory procedures
• Experience supervising a billing team
• Current residence in Idaho, Nevada, Utah, Colorado, Arizona, or Texas

• Experience automating or rebuilding billing workflows, such as claim scrubbing rules, automated payment posting, eligibility verification, or reporting
• Certified Professional Coder (CPC)
• Experience managing offshore billing teams
• Associate's or Bachelor's degree in Business, Healthcare Administration, or a related field

Rocky Mountain Laboratories is an Equal Opportunity Employer committed to diversity in its workforce. We comply with all applicable federal and state laws and prohibit discrimination based on race, ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, veteran status, disability, or genetic information. We also comply with the Americans with Disabilities Act (ADA) and provide reasonable accommodations to qualified individuals with disabilities.

Rocky Mountain Laboratories participates in E-Verify.

Employment is contingent upon successful completion of a background check and other pre-employment screenings, as required.

Employment with Rocky Mountain Laboratories is at-will. This means either the Team Member or the company may end the employment relationship at any time, with or without cause or notice, in accordance with applicable laws. Nothing in this posting or in future communications alters that relationship.

While we appreciate interest from staffing agencies, Rocky Mountain Laboratories does not currently partner with external agencies. Resumes submitted unsolicited will not be considered, and no fees will be paid.