Job Description

About us:

Lucence is a pioneering precision oncology company with a bold vision: a world where cancer is defeated through early detection and timely treatment. Our cutting-edge liquid biopsy tests use advanced molecular profiling to guide personalized cancer therapies, transforming how cancer is diagnosed and treated. At Lucence, we are shaping the future of precision medicine by capturing both genetic and cellular data from a single blood draw, bringing us closer to our mission of overcoming cancer.

Position Summary

At Lucence, every process we build supports one mission: enabling earlier cancer detection so patients can live longer and healthier lives. As a Senior Medical Billing Specialist , you play a vital role in that mission. You will ensure that our billing operations are accurate, compliant, and efficient—so that patients, clinics, and partners experience a smooth and dependable journey.

 

This role is ideal for someone who takes ownership, works with precision, and thrives in a dynamic environment. You will manage the full billing cycle, collaborate with teams across the company, and help strengthen the financial backbone that supports our global growth.

What You’ll Do

Insurance Verification & Eligibility

• Confirm patient benefits and insurance eligibility through direct communication with insurance providers.
• Document coverage requirements clearly to support timely testing and patient care.

Full Revenue Cycle Management

• Own end-to-end billing activities:
  • Charge entry
  • Claim submission (CMS-1500, 837 formats)
  • Payment posting
  • Accounts receivable tracking
  • Maintain clean, accurate data within billing systems and extract reports to support operational visibility.

Claims Follow-Up, Denials & Appeals

• Follow up proactively with insurance companies and medical groups on pending claims.
• Investigate denials, prepare resubmissions and appeals, and close gaps that delay reimbursement.
• Implement improvements that increase claim acceptance and reduce denials.

Financial Insights & Revenue Optimization

• Analyze reimbursement patterns to identify errors, denial trends, and opportunities for recovery.
• Generate clear, actionable billing reports for internal stakeholders.
• Recommend improvements that enhance revenue capture and reduce leakage.

Compliance & Quality Standards

• Ensure adherence to Medicare, State programs, HMO/PPO rules, and payer-specific guidelines.
• Stay current with billing codes (CPT/HCPCS, ICD-10) and regulatory updates.
• Maintain strict HIPAA compliance and protect patient information at all times.
  
   

Process Excellence & Cross-Functional Collaboration

• Develop and refine departmental procedures to support scalability and accuracy.
• Conduct routine data audits and clean-ups to maintain system integrity.
• Train internal and external partners on billing workflows and updates.
• Work closely with IT to improve system performance and streamline billing processes.
• Partner with Clinical Ops, CX, Lab, Finance, and Commercial teams to ensure a seamless end-to-end experience.

Payment & Invoice Management

• Send invoices and track incoming and overdue payments with rigor.
• Follow up with payers or patients on late payments; issue reminders when needed.
• Adjust bills based on remittance advice or payer feedback to ensure accuracy.
• Handle additional tasks related to revenue cycle operations as assigned.

Why This Role Matters

Accurate billing isn’t just an operational function—it’s a critical enabler of timely patient care, responsible growth, and our ability to expand access to life-saving diagnostics. In this role, you’ll help build systems that scale with our mission and strengthen the trust clinicians and patients place in us.

What We're Looking For

Must-Haves

• Bachelor’s degree in healthcare administration, business, finance, or a related field—or equivalent practical experience.
• 4+ years of experience in healthcare billing, patient accounts, or revenue cycle operations, preferably within a diagnostics or lab services environment.
• Proficiency in Excel or Google Sheets, with a strong comfort level working with data-driven tools and generating insights.
• Proven self-starter with strong initiative and a solution-oriented mindset.
• Exceptional organizational, analytical, and problem-solving skills with meticulous attention to detail.
• Excellent written and verbal communication skills, with the ability to articulate complex information clearly and concisely.
• A high standard of confidentiality and professionalism when handling sensitive patient data (PHI) in compliance with HIPAA standards.
• Ability to thrive in a fast-paced, high-accountability environment and adapt quickly to change.

Nice-to-Haves

• Familiarity with systems such as Salesforce, Snowflake, MES, or Power BI.
• Proficiency in SQL or other data query tools is a significant plus.
• Experience in procurement or inventory management within a lab or healthcare setting.
• Comfort navigating across U.S. and international healthcare billing practices.
• Working knowledge of CPT/HCPCS, ICD-10, and common billing codes and modifiers

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