Senior Revenue Cycle Specialist

Role: Senior Revenue Cycle Specialist responsible for managing complex billing transactions, resolving insurance and patient account issues, and optimizing reimbursement processes within a diagnostic or pathology laboratory setting. Responsibilities: handle correspondence with insurance carriers, identify reimbursement trends, resolve unpaid claims and denials, ensure billing compliance, and communicate effectively with payors, patients, and management; analyze and research payer policies including Medicare, Medicaid, and private insurers. Requirements: High School Diploma or GED; minimum 4 years’ experience in healthcare billing, with advanced knowledge of government and private payor reimbursement; experience in diagnostic laboratory or anatomic pathology is a plus; strong interpersonal, problem-solving, and communication skills; ability to work in a fast-paced, deadline-driven environment. HighValue: expertise in insurance claims management, denial resolution, payor policy knowledge, and reimbursement optimization in a pathology diagnostics context. WorkSetup: not specified; environment entails interaction with diverse internal and external stakeholders.