RCM Analyst & Billing Specialist

Position Overview:

The RCM Analyst & Billing Specialist serves as a subject matter expert (SME) in XIFIN billing workflows, ensuring accurate, compliant, and efficient processing of laboratory claims. The role supports the full revenue cycle - from data integration and claim creation to payment posting, reconciliation, and reporting, while maintaining adherence to payor and regulatory requirements. The Analyst / Specialist provides insight to optimize performance, minimize denials, and improve cash flow.

What You'll Do:

• Manage end-to-end billing for laboratory services using Xifin’s Revenue Cycle Management core platform. 
• Validate data imports from LIMS, accounting applications for completeness and compliance.
• Manage payor and clearinghouse edits for accuracy before EDI submissions.
• Perform cash application functions using Xifin’s process automation for charge corrections, payor updates, and insurance verification.
• Post payments and adjustments, reconcile daily deposit and remittance advice.
• Track and resolve denials, underpayments, and rejections with root-cause documentation.
• Support and manage month-end processes (client and third-party)

What You'll Need:

• Act as an internal Xifin subject matter expert (SME) managing: workflows, payor updates and system configurations. 
• Support LIMS’ institutional  / client billing, and Xifin’s  ERA / 835 and MyOme’s accounting process.
• Ability to create and maintain standard operating procedures (SOPs) for all Xifin’s RCM processes .
• Ability to conduct QA and UAT testing for new processes,  and custom reporting features.
• Collaborate with IT and payors to resolve system issues and data discrepancies.
• Ability to prepare weekly and monthly dashboards for cash flow, payor groups, and aging performance..
• Ability to provide executive level summaries for key trends, bottlenecks, and improvement opportunities.
• Provide executive-level summaries that clearly articulate key trends, bottlenecks, and opportunities for improvement.

Location, Compensation, and Benefits:

• Location: Remote in the US
• Compensation: Annual salary range of $70,000 - $90,000, commensurate with experience.