Pacific Diagnostic Laboratories seeks a PDL Revenue Operations Analyst for their Administration department responsible for the overall day-to-day operations of denials management, appeals, self-pay inventory, claims write-offs, client edits, client portal usage, payer policy changes, AR aging across all payer classes, insurance eligibility and insurance discovery trends. Actively oversees, maintains, and communicates denials and appeals activity to clients and internal stakeholders. Provides guidance and direction to the team to ensure the department maintains or exceeds goals including total AR collections, credit balances, # of and amount of edits and denials, identifies emerging trends in claims payments and assesses expected vs actual reimbursement. Ensures all activities are performed in compliance with Cottage Health (CH) and PDL policies, procedures, and Federal and State regulations. Assists in recruitment, retention, training and work allocation.
QUALIFICATIONS:
All job qualifications listed indicate the minimum level necessary to perform this job proficiently.
Education:
- Required: Bachelor's degree or equivalent Lab RCM work experience of 6 years.
Technical Requirements:
- Required: Must be able to demonstrate an understanding of ICD-10 coding for Lab CPT's, working payer denials and appeal processes. Expertise in healthcare insurance eligibility, verification and claims filing procedures. Expertise in utilizing software applications to maximize automation and efficiency in a business office setting. Proficient in Microsoft Office suite, with an emphasis on Excel and PowerPoint. Able to analyze data to identify trends and opportunities for process improvement.
- Preferred: MS-Office 365.
Years of Related Work Experience:
- Required: Five years LAB RCM experience, preferably in a multi-facility environment including three (3) years of progressive responsibility in healthcare revenue cycle. Experience working with legal consent policy and procedures and payer contracting and policies. Knowledge of medical terminology.
- Preferred: Minimum if five (5) years related work experience.
Skills Required
- Bachelor's degree or equivalent Lab RCM work experience of 6 years
- Minimum five years LAB RCM experience, preferably in a multi-facility environment including three years of progressive responsibility in healthcare revenue cycle
- Understanding of ICD-10 coding for Lab CPTs and working payer denials and appeal processes
- Expertise in healthcare insurance eligibility, verification and claims filing procedures
- Experience working with legal consent policy and procedures and payer contracting and policies
- Proficient in Microsoft Office suite, with emphasis on Excel and PowerPoint
- Able to analyze data to identify trends and opportunities for process improvement
- Knowledge of medical terminology
- MS-Office 365
Cottage Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Cottage Health and has not been reviewed or approved by Cottage Health.
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Fair & Transparent Compensation — Pay is considered competitive for the area and often described as fair or among the best locally. Noted examples of meaningful raises over time reinforce the perception of market-aligned compensation.
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Healthcare Strength — Health coverage is described as very good, with comprehensive medical, dental, and vision alongside robust mental health resources. Wellness supports like an EAP, onsite fitness/yoga, and incentives enhance overall value.
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Wellbeing & Lifestyle Benefits — Distinctive programs such as substantial down‑payment assistance, workforce‑affordable housing, wellness dollars, and onsite childcare broaden total rewards beyond core insurance. These offerings are positioned to help offset local cost pressures and support daily life.
Cottage Health Insights
What We Do
Mission Statement: To provide superior health care for and improve the health of our communities through a commitment to our core values of excellence, integrity, and compassion. Founded in 1888, the not-for-profit Santa Barbara Cottage Hospital has been serving the community for more than 125 years. Cottage Health, formed in 1996 as the not-for-profit parent organization of Santa Barbara Cottage Hospital and its affiliated Cottage Children’s Medical Center, Cottage Rehabilitation Hospital, Goleta Valley Cottage Hospital, and Santa Ynez Valley Cottage Hospital, is guided by a volunteer board of directors from the greater Santa Barbara community and provides the residents of the Central and South Coast with exemplary health care, continuous improvements in medical practice, and a commitment to our communities.
