Senior Revenue Cycle Lead – Pathology Billing (Hybrid)

Yoh, A Day & Zimmermann Company; Coppell (TX); Hybrid; USD 37,000 - 41,000; Full time

Benefits offered by this job

Medical Benefits

Prescription Benefits

Dental Benefits

Vision Benefits

HSA

Life Insurance

Disability Insurance

Voluntary Benefits

EAP

401K Plan

Direct Deposit

Referral Bonus

Training Opportunities

Job summary

Yoh is actively seeking a Senior Revenue Cycle Specialist to join our healthcare client’s team in a hybrid onsite role in Texas. You will resolve complex billing and reimbursement issues, maximize revenue recovery through claims analysis, denial management, and payment resolution, and collaborate with insurers, patients and leadership to improve processes.

Ideal candidates have 4+ years in healthcare billing, with expertise in Medicare, Medicaid, and commercial reimbursement, and experience in

Qualifications

• 4+ years in a complex healthcare billing and reimbursement environment.
• Advanced knowledge of Medicare, Medicaid, and commercial insurance reimbursement processes.
• Experience in Anatomic Pathology or Diagnostic Laboratory billing is required.
• Strong analytical and problem-solving skills with the ability to resolve complex billing issues independently.
• Excellent interpersonal and communication skills with patients, insurers, clients, leadership and internal stakeholders.

Responsibilities

• Investigate, resolve, and collect payment on complex healthcare billing and reimbursement transactions.
• Research and resolve unpaid claims, billing discrepancies, denials, and customer complaints to ensure timely and accurate reimbursement.
• Contact insurance carriers, patients, and other stakeholders to resolve account issues and maximize payment.
• Review insurance and patient account correspondence to identify outstanding issues and determine corrective actions.
• Analyze billing trends and identify recurring reimbursement issues, recommending process improvements to reduce denials and improve collections.
• Collaborate with leadership and cross-functional teams to develop solutions that improve revenue cycle performance and operational efficiency.
• Review billing documentation to ensure compliance with payer requirements and regulatory guidelines.
• Communicate with insurance companies, patients, and internal leadership regarding account status, payment issues, and resolution strategies.
• Develop and maintain expertise in payer fee schedules, reimbursement methodologies, and denial management.
• Apply advanced knowledge of Medicare, Medicaid, and commercial payer policies to maximize reimbursement opportunities.
• Monitor aging reports to resolve outstanding accounts receivable and reduce claim aging.
• Support complex revenue cycle projects requiring advanced reimbursement knowledge.
• Assist with special projects and perform additional duties as assigned.

Skills

Billing expert

Denial management

Claims analysis

Payment resolution

Interdepartmental collaboration

Education

High School Diploma or GED

Job description

Yoh is actively seeking a Senior Revenue Cycle Specialist to join our healthcare client’s team in a hybrid onsite role in Texas. You will resolve complex billing and reimbursement issues, maximize revenue recovery through claims analysis, denial management, and payment resolution, and collaborate with insurers, patients and leadership to improve processes.

Ideal candidates have 4+ years in healthcare billing, with expertise in Medicare, Medicaid, and commercial reimbursement, and experience in