Clinical Lab AR Manager Job at Integrated Medical Services, Inc. (Phoenix)

Job Description

Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers' commitments to high quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Center is seeking a Clinical Lab AR Manager to oversee the strategic and operational execution of the laboratory including revenue cycle, billing operations, and outstanding collections for the medical diagnostic laboratory. Focus on day-to-day lab operations and responsible for budget, final data delivery and closeout. Instill the IMS mission, vision and values in the work performed.

Job Responsibility

Manage the end-to-end processing of laboratory invoices, tracking 'aging buckets' (outstanding payments over 30, 60, or 90 days), and maximizing cash flow
Manage revenue cycle by identifying insurance companies rejecting laboratory claims (e.g., incorrect diagnosis coding or lack of medical necessity) and leading teams to correct and appeal the claims
Ensure all billing practices are strictly aligned with healthcare laws, payer contracts, and government regulations such as HIPAA
Manage payor and system reconciliation to resolve complex payment discrepancies between the lab's information system (LIS) and various health insurance portals
Oversee all project stages, including scope definition, planning, and task management, ensuring that deliverables meet quality standards and are completed on schedule
Serve as the primary point of contact for sponsors, physicians, and internal laboratory functions, lead kick-off meetings and provide regular status updates to ensure alignment
Proactively monitor study budgets, manage purchase orders, and track expenses to ensure financial performance
Ensure all activities strictly adhere to industry standards like Good Laboratory Practice (GLP), ISO, or regulations in collaboration with the Medical Director of the Lab
Independently identify and mitigate potential risks, such as timeline delays, or supply chain issues
Pull reports on tests performed and denials, and work with revenue cycle team and operations to address denials, along with OBL reports
Generate reports on orders submitted by providers and help with analysis
Identify potential problem areas, develop a system for objectively monitoring performance and creatively seek solutions to foster quality improvement
Demonstrate knowledge and understanding of patient privacy rights and maintain confidentiality of all medical, financial, or other sensitive materials
Actively participate as a member of the interdisciplinary team
Maintain records and prepare reports and correspondence related to work
Perform other duties as assigned

Requirements

Bachelor's degree in healthcare administration, finance, business administration, or a closely related field
3–5+ years' experience managing medical billing or accounts receivable, with specific experience in laboratory specific billing required
High proficiency in medical coding systems (CPT, ICD-10), electronic health record (EHR) software, and clearinghouses
Ability to maintain records, prepare reports and conduct correspondence related to the work
Ability to communicate with others, both verbally and in writing
The ability to work in a constant state of alertness and in a safe manner

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Clinical Lab AR Manager

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