Passionate about precision medicine and advancing the healthcare industry?
Recent advancements in underlying technology have finally made it possible for AI to impact clinical care in a meaningful way. Tempus' proprietary platform connects an entire ecosystem of real-world evidence to deliver real-time, actionable insights to physicians, providing critical information about the right treatments for the right patients, at the right time.
The Reimbursement team oversees revenue cycle operations and reimbursement strategy for Tempus clinical laboratory testing. The position supports relationships with Tempus' Managed Care, Sales, Finance, Product, Customer Success, Operations, and Business Intelligence (BI), as well as our third party billing vendor.
Summary
The Revenue Cycle Management Specialist position will have a strong focus on denials, appeals, and refunds management and will play a pivotal role in optimizing revenue cycle operations. This position will be responsible for researching, documenting, and analyzing denial and refund trends, as well as driving initiatives to improve appeal success. This role demands a highly motivated individual with a strong desire to learn and work cross-functionally to achieve team goals and objectives.
Responsibilities
- Monitor worklists for denials, refunds, and appeals in Tempus' billing system.
- Ensure timely submission and follow-up of appeals.
- Monitor trends in denials, refunds, and appeals using reporting and dashboarding tools.
- Identify and catalog pertinent payer policies impacting denials, refunds, and appeals.
- Assist with creating and compiling appeal letters and supporting documentation.
- Conduct pertinent research and present suggestions for improving revenue cycle management (RCM) KPIs.
- Review and manage write-off worklists.
- Handle ad hoc requests and special projects as needed, demonstrating flexibility and adaptability to meet evolving business needs.
Preferred Qualifications & Experience
- Bachelor's degree in healthcare administration, business, or a related field (or equivalent experience).
- 2+ years of experience in healthcare denials/refunds/appeals, healthcare consulting, revenue cycle management, healthcare operations, or related fields.
- Familiarity with healthcare reimbursement, payer policies, and regulatory compliance in the revenue cycle.
- Experience in Microsoft Excel and other data analysis tools.
- Detail-oriented with a commitment to accuracy and thoroughness in all tasks.
- Excellent communication skills, both verbal and written, with the ability to convey complex ideas and analysis results clearly.
- Proven ability to manage multiple projects simultaneously and prioritize tasks effectively.
- Motivated self-starter with a proactive approach to problem-solving and driving continuous improvement.
#LI-SH1#LI-Hybrid
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Additionally, for remote roles open to individuals in unincorporated Los Angeles – including remote roles- Tempus reasonably believes that criminal history may have a direct, adverse and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment: engaging positively with customers and other employees; accessing confidential information, including intellectual property, trade secrets, and protected health information; and appropriately handling such information in accordance with legal and ethical standards. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law, including the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
What the Team is Saying
What We Do
Tempus is a technology company advancing precision medicine through the practical application of artificial intelligence in healthcare. With one of the world’s largest libraries of clinical and molecular data, and an operating system to make that data accessible and useful, Tempus enables physicians to make near real-time, data-driven decisions to deliver personalized patient care and in parallel facilitates discovery, development and delivery of optimal therapeutics. The goal is for each patient to benefit from the treatment of others who came before by providing physicians with tools that learn as the company gathers more data. For more information, visit tempus.com.
Why Work With Us
We're looking for those who challenge the status quo. For the builders who are never done building and the learners who are never done learning. We're looking for unwavering commitment and undying curiosity. We're looking for the smartest people on the planet to attack one of the most challenging problems mankind has ever faced.
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Tempus AI Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Most of the team follows a hybrid policy, with some roles allowing for a fully remote arrangement and some roles being onsite only.
