CLINICAL LAB AR Manager

IMS Care Center•Phoenix, AZ

2d•Onsite

About The Position

Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers' commitments to high quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Center is seeking a Clinical Lab AR Manager to oversee the strategic and operational execution of the laboratory including revenue cycle, billing operations, and outstanding collections for the medical diagnostic laboratory. Focus on day-to-day lab operations and responsible for budget, final data delivery and closeout. Instill the IMS mission, vision and values in the work performed.

Requirements

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, bother verbally and in writing.
The ability to work in a constant state of alertness and in a safe manner.

Responsibilities

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.
Oversee all project stages, including scope definition, planning, and task management.
Ensure that deliverables meet quality standards and are completed on schedule.
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.
Proactively monitor study budgets, manage purchase orders, and track expenses to ensure financial performance.
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.
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.
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.