OPERATIONS AND REVENUE SUPPORT SPECIALIST

Position Summary

The Laboratory Operations & Revenue Support Specialist is responsible for providing comprehensive administrative, billing, logistics, and operational support to ensure the efficient functioning of the laboratory. This hybrid position supports laboratory revenue cycle activities, coordinates specimen and supply logistics, and assists with daily operational processes to maintain accuracy, efficiency, and continuity of laboratory services.

The individual in this role works collaboratively with laboratory leadership, billing personnel, clinical staff, vendors, and other departments to facilitate timely billing processes, effective coordination of laboratory resources, and adherence to established operational procedures.

Essential Duties and Responsibilities

Medical Laboratory Billing & Revenue Cycle Support

- Assist with laboratory billing processes, including reviewing billing information for accuracy, completeness, and timely submission.

- Verify patient demographics, insurance information, and other documentation necessary for accurate claim processing.

- Review laboratory orders and associated billing documentation to identify missing or inconsistent information.

- Assist with claim follow-up, billing discrepancies, denials, rejections, and requests for additional documentation.

- Coordinate with internal billing personnel and external billing partners to resolve outstanding billing issues.

- Maintain accurate billing records and supporting documentation in accordance with organizational policies and applicable requirements.

- Assist with preparing reports related to billing activity, outstanding claims, and revenue cycle performance.

Laboratory Logistics & Coordination

- Coordinate the movement, shipment, receipt, and tracking of laboratory specimens, supplies, and materials.

- Communicate with courier services, shipping vendors, and laboratory personnel to support timely specimen transportation.

- Monitor specimen shipment and delivery status, assisting with the resolution of delays, missing shipments, or logistical discrepancies.

- Support specimen intake and accessioning workflows as assigned, ensuring appropriate documentation and chain-of-custody procedures when applicable.

- Assist with inventory monitoring, supply ordering, and maintaining appropriate stock levels of laboratory materials.

- Maintain accurate shipment records, tracking information, and other logistical documentation.

Laboratory Operations & Administrative Support

- Provide day-to-day administrative and operational assistance to laboratory leadership and staff.

- Assist with coordinating laboratory workflows to support operational efficiency and timely service delivery.

- Maintain organized records, operational logs, spreadsheets, and tracking systems.

- Assist in developing, updating, and maintaining standard operating procedures, forms, and administrative documentation.

- Coordinate communication between laboratory personnel, billing teams, vendors, and other internal departments.

- Assist with scheduling, vendor coordination, and other administrative functions as needed.

- Support operational reporting, data collection, and performance tracking.

- Identify workflow inefficiencies and communicate recommendations for process improvements to laboratory leadership.

- Perform other related duties as assigned to support the laboratory's operational needs.

Compliance, Quality & Documentation

- Maintain confidentiality of patient, employee, and organizational information in accordance with HIPAA and company policies.

- Follow applicable laboratory policies and procedures, including relevant CLIA, CAP, and other regulatory requirements within the scope of assigned responsibilities.

- Ensure accuracy and completeness of billing, shipping, and operational records.

- Promptly communicate identified errors, discrepancies, or compliance concerns to appropriate leadership.

- Participate in required training and ongoing process improvement initiatives.

Skills & Qualifications

- Strong organizational and time-management skills with the ability to manage multiple priorities, workflows, and deadlines.

- Exceptional attention to detail, accuracy, and recordkeeping skills, particularly when handling billing information, specimen documentation, and operational records.

- Strong written and verbal communication skills.

- Ability to handle confidential and sensitive patient, financial, and organizational information appropriately.

- Proficiency in Microsoft Office, including Outlook, Word, Excel, and PowerPoint.

- Familiarity with medical billing processes, insurance verification, claims processing, and revenue cycle workflows preferred.

- Ability to coordinate specimen shipments, courier services, supply orders, inventory, and other laboratory logistical activities.

- Ability to communicate professionally with laboratory personnel, billing teams, healthcare providers, leadership, vendors, and external organizations.

- Strong problem-solving skills with the ability to identify workflow inefficiencies and assist with process improvements.

- Ability to work independently while recognizing when matters require escalation to laboratory leadership.

- Strong follow-through and ability to monitor outstanding claims, shipments, operational tasks, and deadlines.

- Ability to learn and apply laboratory terminology, medical billing procedures, specimen handling requirements, and applicable regulatory documentation standards.

- Familiarity with laboratory information systems (LIS), electronic medical records (EMR), billing platforms, or inventory management systems preferred.

- Experience working in a healthcare, laboratory, medical billing, or other regulated environment preferred.

Education & Experience

- High school diploma or equivalent required.

- Associate's or bachelor's degree in Business Administration, Healthcare Administration, Medical Billing and Coding, Health Information Management, or a related field preferred.

- Two or more years of experience in medical billing, healthcare administration, laboratory operations, logistics coordination, or related administrative support preferred.

- Previous experience supporting a clinical laboratory, healthcare organization, medical billing department, or medical office strongly preferred.

- Experience with medical billing, insurance claims, denial follow-up, payment reconciliation, or other revenue cycle functions preferred.

- Familiarity with medical coding terminology, CPT/HCPCS codes, ICD-10-CM codes, and insurance reimbursement processes preferred.

- Knowledge of HIPAA requirements and familiarity with applicable CLIA and CAP laboratory standards preferred.

Physical and Work Requirements

- Ability to perform duties in an office and laboratory-support environment.

- Prolonged periods of sitting, computer use, and administrative work.

- Occasional standing, walking, bending, and lifting of supplies or shipping materials as required.

- Ability to manage competing priorities and deadlines in a fast-paced healthcare environment.

- Adherence to applicable workplace safety and laboratory protocols.