Responsibilities
- Provide analytical and operational support for Specialty Testing accounts receivable and reimbursement to improve denial operations workflows and processes
- Research denials/claim issues for root cause and provide suggestions for resolution
- Manage internal override inventory for prompt resolution
- Serve as an internal conduit to gather, share, and report information related to specialty billing workflows, system behavior, and claims outcomes
- Research issues to determine impacted scope of claims
- Coordinate with operations/reporting team to identify and quantify impacts
- Coordinate with operations/reporting team to develop and communicate workflow projects
- Learn and navigate multiple laboratory systems and billing platforms; apply system workflows to billing processes to ensure expected outcomes
- Conduct research, data mining, evaluation, and validation of complex specialty testing datasets to identify trends and support data‑driven decision‑making
- Manage information requests from cross‑functional stakeholders, keeping them informed of reimbursement issues and changes
- Exercise sound judgment in making decisions that have long‑term organizational impact
- Build and maintain datasets and databases for routine and ad hoc reporting
- Recommend new or improved workflows for complex billing processes to maximize cash collections
- Contribute to the development, documentation, and implementation of workflow processes (e.g., appeals, prior authorizations, specialty support activities)
- Proactively identify and resolve broad issues affecting specialty testing billing performance
- Collaborate across Revenue Cycle Management functions to drive improvements, enhance effectiveness, and promote best practices
- Apply diverse technical skills to understand laboratory systems, data structures, and workflows across Labcorp and specialty testing environments
- Translate LCLS/LCBS data for use in specialty testing analysis and projects (a plus)
- Support management and peers by taking on additional projects as needed
Minimum Qualifications
- Requires a Bachelor’s Degree with 5 years or more of advanced experience or AAS with 7 years or more or HS with 9 years or more of advanced experience in Medicare, Medicaid, Managed Care and Commercial Payer revenue cycle (billing, coding, reimbursement, payment variance analysis, denials, appeals, medical necessity determination, and prior authorization)
Remote and Hybrid Schedule
Applicants who live within 35 miles of either the Burlington, NC or Durham, NC location will follow a hybrid schedule. This schedule includes a minimum of three in‑office days per week at an assigned location, either Burlington or Durham, supporting both collaboration and flexibility.
Pay Range
$65-80K
Benefits
- Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan
- Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan
- Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO
Equal Opportunity Employer
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.