Laboratory Corporation of America Jobs

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Job Information

Laboratory Corporation of America Mgr., Revenue Cycle Management in McLeansville, North Carolina

Responsibilities:

  • Define departmental and team member goals with measurable outcomes in accuracy, timeliness, productivity and service quality

  • Assigns responsibilities based on skills, experience, bandwidth, and individual opportunities for growth

  • Monitors departmental reporting and dashboards to ensure goals are being met; Identifies trends and is able to explain variances

  • Ensure EDI validation and implementation process for submission of clean claims; builds analytics that drive team processing which reduces and avoids denials and failed claims

  • Manage resolving issues timely and with high quality; engage directly as needed

  • Drive root cause analysis; focus on systemic solution and appropriate remediation efforts

  • Escalate concerns/issues and mitigation recommendations to senior leadership

  • Provide guidance to team to enable understanding and ability to explain billing requirements and importance to obtain IT, client, and vendor cooperation

  • Manage individual and team performance and continuously develop skills and knowledge base to build and maintain a high-performing team

  • Provides and promotes excellent customer service

  • Continuous technology improvement, including staying current with the latest EDI standards, architecture, analysis & design, and product releases

  • Evaluate SOP accuracy and coverage; improve, and ensure adherence

Requirements

License/Certification/ Education:

  • Normally a B.A./B.S. Degree in related field w/5-7 years of experience

Experience and Skills

  • Experience in electronic data interchange (EDI) with a large healthcare billing system covering multiple states and payers preferred

  • Communicates complex information simply; clear, concise conveyance of key points, targeted for specific audience

  • Technically inclined and able to communicate effectively with technical contacts, while able to simplify and ensure understanding by non-technical stakeholders

  • Technical experience of healthcare data and industry driven changes including electronic data interchange (EDI), HL7, and Healthcare x12 transactions preferred

  • High aptitude to learn and teach others new tools, programs, integrations, and business processes

  • Tenacity in coordination of team members to meet or exceed timelines and outcomes

  • Ability to gain the cooperation of others in pursuit of company goals

  • Strong work ethic with proven track record of accuracy, dependability and consistency, with the same expectations of team members

  • An independent and confident decision maker, achieves goals by overcoming unforeseeable issues while managing multiple competing priorities

  • Demonstrated and facilitated collaboration, documentation, and presentation skills

  • Ability to form strong relationships internally and externally, building a collaborative environment for project stakeholders

Shift

1

Schedule

Mon-Fri 8-5 ET; flexibility permitted provided work is completed

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, national origin, sexual orientation, gender identity, disability or veteran status.

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