Revenue Cycle Manager

Detroit Michigan

100k-175k+

Our Client is seeking a skilled Revenue Cycle Management (RCM) Specialist with experience in post-submission workflows, denial resolution, and accounts receivable (AR) recovery for a high-complexity clinical laboratory serving clients in women’s health, toxicology, and genetics. This role ensures that claims are not only submitted correctly, but also monitored, appealed, and recovered efficiently — driving revenue integrity and cash flow performance.

Responsibilities:

● Review and track submitted claims to ensure timely processing and identify any

delays, denials, or underpayments.

● Analyze denial codes, EOBs, and remittance data to determine root causes

and corrective actions.

● Initiate and manage appeals, reconsiderations, or corrected claims to

maximize reimbursement.

● Collaborate with coding and pre-submission teams to close the feedback loop

and prevent recurring errors.

● Maintain accurate documentation and follow-up logs within the billing system or

RCM platform.

● Communicate with payers, clearinghouses, and internal departments to resolve

billing discrepancies and verify payment statuses.

● Prepare regular AR aging and recovery performance reports for stakeholders

and leadership.

● Identify trends in payer behavior and propose process improvements to increase

clean claim rate and reduce DSO (Days Sales Outstanding).

Qualifications:

● 2+ years of experience in medical billing, RCM, or AR follow-up (laboratory or

diagnostic experience strongly preferred).

● Deep understanding of EOB interpretation, denial management, and payer

appeals.

● Working knowledge of claim adjudication, ERA/EOB reconciliation, and payer

portals.

● Familiarity with CPT, ICD-10, and HCPCS coding, as well as payer-specific

reimbursement rules.

● Experience using billing software, clearinghouses, and RCM dashboards for

tracking and reporting.

● Certification (e.g., CPC, COC, CRCR) preferred but not required.

Personal Skills:

● Strong analytical and critical-thinking abilities to assess complex claim issues.

● Excellent written and verbal communication, especially for payer

correspondence.

● High degree of accuracy and accountability.

● Ability to work collaboratively with cross-functional teams including clinical,

operations, and finance.

● Persistent and resourceful with a problem-solver mindset.

● Self-motivated and organized with a focus on measurable results.