MyOme's mission is to provide clinically actionable genetic information to patients throughout their lives. The company combines clinical-grade whole genome sequencing, advanced AI methods for genome interpretation, and digital tools for doctors and patients to order and access results.
This role is a hands-on Revenue Cycle Specialist position focused on claims management, denials, appeals, and administrative billing operations within MyOme's revenue cycle management team. You will work in RCM systems, payor portals, and clearinghouses to resolve claims and keep the billing process moving efficiently.
The position reports to the Head of Revenue Cycle Management and works closely with a small team in a fast-growing genomics environment.
What You'll Do
- Own day-to-day claim and denials management across the company's book of business.
- Investigate and resolve front-end and back-end rejections and denials.
- Draft, submit, and track appeals across commercial and government payors, including out-of-network scenarios.
- Work denials involving prior authorization, medical necessity, timely filing, eligibility, coordination of benefits, and non-covered services.
- Use clearinghouses and payor portals to verify eligibility, check claim status, and pull EOBs and remittance details.
- Handle demographic and insurance corrections, claim resubmissions, payor follow-up calls, and documentation uploads.
- Maintain clear notes and audit trails in the RCM system.
- Identify denial trends and process gaps, and share recommendations for workflow improvements.
- Collaborate with Customer Support, Clinical Operations, and Lab teams to resolve upstream issues.
What You'll Need
- 2–5 years of revenue cycle, billing, or claims experience in a laboratory, diagnostic, or genetic testing environment.
- Hands-on experience with Xifin strongly preferred.
- Experience with other lab RCM systems or clearinghouses such as Change Healthcare/Optum, Availity, or payor portals.
- Experience handling out-of-network claims with commercial payors.
- Strong working knowledge of front-end and back-end rejections and denials.
- Proven success with appeals.
- Strong written and verbal communication skills.
- Excellent attention to detail and ability to manage high volumes of administrative work.
- Proficiency with Google Workspace, Excel, and modern RCM/billing tools.
Benefits and Perks
- Comprehensive healthcare coverage (medical, dental, and vision)
- 401(k)
- Unlimited PTO
- Professional development opportunities
- Company-sponsored off-sites and team meals during in-person meetings
- Direct access to company leadership and career growth opportunities
- Competitive compensation and meaningful equity
Location
Charlotte, North Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$70,000 - $90,000
Remote work allowed
Yes
Posted
2 weeks ago