RCM Client Billing Specialist

Summary

GeneDx delivers genomic and clinical insights that support diagnosis, treatment, and precision medicine. The Client Billing Specialist manages the end-to-end client billing process for diagnostic laboratory services, including invoice submission, dispute resolution, payment follow-up, documentation, compliance, and reporting.

Responsibilities

• Invoice Submission: Review to ensure invoices for diagnostic lab services to facilities is following lab service agreement guidelines and laboratory policies. Transactions on invoices should be reviewed for correct pricing as well as other client requirements
• Dispute Management: Analyze disputed invoice transactions, identify root causes, and initiate corrective actions including client contact, adjustment requests, and transactional transfers to submit claims to a payer when required
• Follow-Up: Proactively follow up on outstanding invoice balances, monitor aging reports, and communicate with clients to resolve issues and expedite payment
• Documentation: Maintain accurate records of invoice status, correspondence, and client responses in the billing system
• Collaboration: Work closely with billing, reimbursement, Market Access, Sales and billing vendor teams to resolve complex issues and support cross-functional RCM initiatives
• Compliance: Stay current with client requirements, updates (LSA, pricing, invoice), and regulatory changes affecting invoicing
• Reporting: Generate and analyze invoice performance reports to identify trends, opportunities for process improvement, and support management decision-making

Skills

• • 2+ years of experience in medical claims processing, preferably in a diagnostic laboratory or healthcare setting
• • Strong knowledge of insurance billing, payer requirements, and denial management
• • Familiarity with laboratory coding (CPT, ICD-10), EOBs, and remittance advice
• • Proficiency with billing software and Microsoft Office Suite
• • Excellent attention to detail, organizational, and communication skills
• • Ability to work independently and collaboratively in a fast-paced environment
• • Associate's or Bachelor's degree in healthcare administration, business, or related field (preferred)

Qualifications

Must Haves

• • 2+ years of experience in medical claims processing, preferably in a diagnostic laboratory or healthcare setting
• • Strong knowledge of insurance billing, payer requirements, and denial management
• • Familiarity with laboratory coding (CPT, ICD-10), EOBs, and remittance advice
• • Proficiency with billing software and Microsoft Office Suite
• • Excellent attention to detail, organizational, and communication skills
• • Ability to work independently and collaboratively in a fast-paced environment

Nice to Haves

• • Associate's or Bachelor's degree in healthcare administration, business, or related field (preferred)

Benefits

• This is a fully remote position.