Revenue Cycle (RCM) / Billing Manager

Lighthouse Lab Services•Billerica, MA

2d•$50 - $55

About The Position

Lighthouse Lab Services is partnering with a diagnostics organization that is implementing a partially outsourced revenue cycle model and is seeking an experienced Laboratory Revenue Cycle Management (RCM) professional to support the transition. This is a part-time, temporary role (approximately 20 hours per week) designed to provide hands-on oversight and operational support during implementation and stabilization of a third-party revenue cycle vendor. While the role is temporary at the outset, there is potential for expansion into a full-time position based on organizational needs and performance. This individual will help integrate the laboratory’s billing operations with a third-party revenue cycle vendor while providing ongoing oversight to ensure workflows are functioning properly, data is accurate, and billing activities move forward without unnecessary delays. Over time, the role may expand into broader revenue cycle support similar to that of a senior billing or RCM process leader. Because this role operates within a specialized testing environment, direct laboratory billing experience is required .

Requirements

Demonstrated experience in laboratory revenue cycle management, including familiarity with payer behavior, documentation requirements, and billing workflows specific to diagnostic testing.
Proven ability to operate effectively in environments where billing functions are partially outsourced.
Strong working knowledge of claims, denials, appeals, and revenue integrity within a laboratory setting.
Comfortable stepping into evolving processes and helping create structure where needed.
Detail-oriented with a practical, solutions-focused approach.
Able to communicate effectively with operational and financial stakeholders.

Responsibilities

Act as a day-to-day liaison between the laboratory and its third-party revenue cycle vendor.
Help ensure services are being delivered as expected and escalate issues when gaps are identified.
Track implementation progress and assist with stabilizing workflows after go-live.
Partner with internal stakeholders across finance, operations, and laboratory leadership.
Review missing or invalid charges and demographic data.
Work with internal teams and the vendor to correct upstream issues that could impact clean claim rates.
Assist with obtaining medical records and supporting documentation required for billing.
Help reduce documentation-related delays.
Collaborate with the vendor to resolve complex claim rejects.
Apply laboratory billing expertise when troubleshooting payer issues and documentation requirements.
Compile clinical documentation required for appeals.
Obtain additional payer-requested materials and support escalation when necessary.
Address patient questions or complaints that require laboratory test knowledge.
Participate in patient statement review for accuracy.
Review direct-to-client invoices prior to release.
Issue refund checks in accordance with policy.
Assist with bad debt collections and recommend write-offs when appropriate.
Support payer enrollment activities alongside the vendor.
Monitor overall revenue cycle performance and raise concerns if vendor delivery appears misaligned with expectations.