Medical Lab Billing Manager

Job Summary:

We are hiring an experienced Medical Lab Billing Manager to oversee the complete billing cycle for a US-based medical laboratory. The ideal candidate must have in-depth knowledge of lab billing, CPT/ICD coding, insurance guidelines (especially Texas), and full Revenue Cycle Management (RCM). The role requires strong leadership, analytical, and communication skills to manage a billing team and ensure accurate, timely, and compliant reimbursement.

Key Responsibilities:

• Manage the end-to-end lab billing process, including patient billing, insurance claims, payment posting, AR follow-ups, and denials.
• Supervise and guide billing staff on day-to-day operations and ensure adherence to US billing guidelines.
• Oversee timely and accurate submission of insurance claims (CMS-1500/837P).
• Review and resolve denials, rejections, underpayments, and appeals.
• Ensure compliance with HIPAA and Texas-specific insurance regulations.
• Maintain and monitor billing KPIs: claim acceptance rate, days in AR, denial rates, collections, etc.
• Collaborate with the front-end data entry team, providers, and sales team to address billing issues.
• Keep updated with CPT, ICD-10, and payer policy changes affecting lab billing.
• Conduct regular audits to ensure documentation accuracy and billing compliance.
• Train new billing staff and provide continuous improvement coaching.

Requirements:

• Minimum 4–6 years of experience in US medical lab billing, with at least 1–2 years in a managerial or supervisory role.
• Deep understanding of RCM processes in the laboratory domain.
• Excellent knowledge of Texas insurance billing guidelines.
• Proficient in billing software and clearinghouses (e.g., Kareo, Office Ally, Availity).
• Strong analytical and problem-solving skills for AR and denial management.
• Ability to lead and motivate a billing team under deadlines.
• Strong verbal and written communication skills in English.
• Must be willing to work night shifts aligned with US business hours.

Preferred Qualifications:

• Experience with molecular, toxicology, blood, or PGx lab billing.
• Familiarity with payer portals and prior authorization processes.
• Certification in Medical Billing & Coding or RCM (preferred but not required).

Job Type: Full-time

Pay: Rs200,000.00 - Rs300,000.00 per month

Application Question(s):

• Which billing software(s) are you proficient in?
• Have you previously managed a complete lab billing team or RCM process?
• How many years of experience do you have specifically in medical laboratory billing?
• Please list the common types of insurance denials you have resolved, along with the resolution steps.
• Have you worked with Texas-based payers and are you familiar with their specific guidelines?
• What are your expected salary and notice period?

Work Location: In person