Manager - Billing

ABOUT US: Biodesix•Louisville, KY

2d•Hybrid

About The Position

Biodesix is a leading diagnostic solutions company, driven to improve clinical care and outcomes for patients. Biodesix Diagnostic Tests support clinical decisions to expedite personalized care and improve outcomes for patients with lung disease. Biodesix Development Services enable the world’s leading biopharmaceutical, life sciences, and research institutions with scientific, technological, and operational capabilities that fuel the development of diagnostic tests, tools, and therapeutics. Our Mission: Transform patient care and improve outcomes through personalized diagnostics that are timely, accessible, and address immediate clinical needs. Our Vision: A world where patient diseases are conquered with the guidance of personalized diagnostics. For more information, please visit www.biodesix.com

Requirements

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.
5+ years of progressive billing or revenue cycle experience, including leadership or supervisory responsibilities.
Experience within fee-for-service medical billing required.

Nice To Haves

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.

Responsibilities

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.