Laboratory Business Operations Specialist
Phoenix Children's - Phoenix, AZ
Hiring: Laboratory Business Operations Specialist Company: Phoenix Children's Location: Phoenix, AZ Job Posted Time: 2026-09-10 13:36:17 Employment Type: Full-time Target Skills & Keywords : CPT, Phoenix, Revenue Cycle Management About the job Required Skills: •Review billing system error reports and resolve billing exceptions. Analyze error patterns, identify root causes, and develop systematic solutions; proactively escalate billing issues and insights on new billing trends to the Lab Business Operations, and Revenue Integrity and Compliance teams. •Provide billing operational support, which includes error processing, charge entry and credit, and CPT code verification to Lab Business Operations, and Revenue Cycle teams. Communicate with reference labs to troubleshoot issues. •Develop internal audits and quality controls, in accordance with departmental policies, procedures, generally accepted accounting practices and all applicable laws and regulations. •Lead strategic review and standardization of laboratory billing processes and procedures; develop new and maintain billing standard operation procedures as applicable •Review and reconcile referral lab invoices to verify pricing, patient billing accuracy, and approvals for timely payments. •Serve as lead on CMS and commercial payer rules and regulations. Proactively monitor, interpret, and communicate regulatory changes •Maintains professional and technical competency in all aspects of laboratory billing and coding with respect to governmental and commercial payor practices and requirements. Participates in educational programs and learning opportunities. •Performs miscellaneous job related duties as requested. Qualifications: •Assist in creating and maintaining a routine audit process of the ChargeMaster, including changes, additions and deletions, for laboratory testing charges and costs in close collaboration with Revenue Integrity. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!