Revenue Cycle (RCM) / Billing Manager

Lighthouse Lab Services
Billerica, MA

Schedule: Part-Time – Approximately 20 hours per week
Employment Type: Temporary (with potential to convert to full-time)
Compensation: $50–$55 per hour
Benefits: Not eligible for benefits at this time due to part-time temporary status

Overview

Lighthouse Lab Services is partnering with a diagnostics organization that is implementing a partially outsourced revenue cycle model and is seeking an experienced Laboratory Revenue Cycle Management (RCM) professional to support the transition.

This is a part-time, temporary role (approximately 20 hours per week) designed to provide hands-on oversight and operational support during implementation and stabilization of a third-party revenue cycle vendor. While the role is temporary at the outset, there is potential for expansion into a full-time position based on organizational needs and performance.

This individual will help integrate the laboratory’s billing operations with a third-party revenue cycle vendor while providing ongoing oversight to ensure workflows are functioning properly, data is accurate, and billing activities move forward without unnecessary delays. Over time, the role may expand into broader revenue cycle support similar to that of a senior billing or RCM process leader.

Because this role operates within a specialized testing environment, direct laboratory billing experience is required .

 

Primary Responsibilities

Vendor Coordination and Operational Oversight

  • Act as a day-to-day liaison between the laboratory and its third-party revenue cycle vendor.

  • Help ensure services are being delivered as expected and escalate issues when gaps are identified.

  • Track implementation progress and assist with stabilizing workflows after go-live.

  • Partner with internal stakeholders across finance, operations, and laboratory leadership.

Charge Capture and Data Quality

  • Review missing or invalid charges and demographic data.

  • Work with internal teams and the vendor to correct upstream issues that could impact clean claim rates.

Pre-Billing Support

  • Assist with obtaining medical records and supporting documentation required for billing.

  • Help reduce documentation-related delays.

Claims and Rejection Support

  • Collaborate with the vendor to resolve complex claim rejects.

  • Apply laboratory billing expertise when troubleshooting payer issues and documentation requirements.

Denials and Appeals Documentation

  • Compile clinical documentation required for appeals.

  • Obtain additional payer-requested materials and support escalation when necessary.

Patient and Client Billing Review

  • Address patient questions or complaints that require laboratory test knowledge.

  • Participate in patient statement review for accuracy.

  • Review direct-to-client invoices prior to release.

Revenue Integrity Support

  • Issue refund checks in accordance with policy.

  • Assist with bad debt collections and recommend write-offs when appropriate.

  • Support payer enrollment activities alongside the vendor.

In addition to the responsibilities listed above, this individual will be expected to monitor overall revenue cycle performance and raise concerns if vendor delivery appears misaligned with expectations.

 

Required Background

  • Demonstrated experience in laboratory revenue cycle management, including familiarity with payer behavior, documentation requirements, and billing workflows specific to diagnostic testing.

  • Proven ability to operate effectively in environments where billing functions are partially outsourced.

  • Strong working knowledge of claims, denials, appeals, and revenue integrity within a laboratory setting.

  • Comfortable stepping into evolving processes and helping create structure where needed.

  • Detail-oriented with a practical, solutions-focused approach.

  • Able to communicate effectively with operational and financial stakeholders.

This role is best suited for professionals who have supported independent, reference, or specialty laboratories. Candidates whose experience is limited to hospital-based billing environments may find the scope and pace of this role less aligned.

 

About us:
At Lighthouse Lab Services, we offer solutions to help start, grow, and run clinical laboratories. Our recruiting team has over 22 years of proven success placing job seekers in positions ranging from entry-level Medical Technologists to seasoned Laboratory Directors. We recruit nationwide, for permanent and travel positions with clients ranging from small hospitals to large reference laboratories.

It is the policy of Lighthouse Lab Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. Lighthouse Lab Services is committed to working and providing reasonable accommodation to individuals of all abilities, including persons with disabilities.

If at any time during the application process, you need an accommodation, please contact [email protected] for assistance.
Lighthouse Lab Services | 844-974-1929 |

#LLS3

Posted 2026-02-20

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