Lab Revenue Cycle Manager
Total Primary Care is one of Texas’ largest independent primary care groups, focused on delivering high-quality, affordable healthcare through a network of modern, patient-centered clinics. As we expand our in-house laboratory services, we’re seeking a highly skilled Lab Revenue Cycle Manager to oversee and optimize billing operations for our growing POL footprint.
Key Responsibilities:
- Manage end-to-end lab billing processes, including test code mapping, charge entry, claim submission, and denials management
- Ensure billing compliance with Medicare and commercial insurance for laboratory services
- Work cross-functionally with clinical, operations, and finance teams to ensure accurate documentation and coding
- Track key performance indicators (AR days, denial rates, reimbursement trends) and implement strategies for improvement
- Stay current on CLIA, CMS, and payer-specific rules that affect lab billing and reimbursement
- Supervise billing staff or outsourced vendors (as applicable)
- 3+ years of experience in laboratory revenue cycle management, preferably in a physician office lab (POL) environment
- Strong knowledge of CPT coding, CLIA regulations, and insurance payer rules for lab services
- Experience with billing systems such as eClinicalWorks or similar
- Familiarity with Texas Medicaid and Medicare lab reimbursement policies
- Detail-oriented with strong analytical and communication skills
Average salary estimate
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