Revenue Cycle Specialist

MyOme’s mission is to provide clinically actionable genetic information to patients throughout their lives. We combine clinical-grade whole genome sequencing, advanced AI methods for genome interpretation, and seamless digital tools for doctors and patients to order and access results. Our team is composed of seasoned entrepreneurs, scientists, and operators, and we're backed by top-tier investors. Position Overview: MyOme is seeking a high-energy, detail-oriented Revenue Cycle Specialist to join our growing Revenue Cycle Management (RCM) team. This is a tactical, hands-on role focused on claim and denials management, appeals, and the manual administrative work that keeps a high-performing billing operation running. You’ll spend your days inside RCM systems, payor portals, and clearinghouses — working claims, resolving denials, and turning friction into revenue. This role is ideal for a rising star with a few years of laboratory or diagnostic billing experience who is looking to take ownership of meaningful work in a fast-growing genomics company. You’ll report directly to the Head of Revenue Cycle Management and work alongside a small, focused team where your output is highly visible and your impact is immediate. If you bring a go-getter mentality, sharp attention to detail, and a relentless instinct to chase down every dollar a payor owes us, we want to hear from you. What You'll Do: Own day-to-day claim and denials management across MyOme’s book of business, working claims through resolution in our RCM system and payor portals. Investigate and resolve both front-end and back-end rejections and denials, identifying root causes and partnering with internal teams to prevent recurrence. Draft, submit, and track appeals across commercial and government payors, including out-of-network claim scenarios, with strong documentation and follow-through. Work denials across the full category spectrum — prior authorization, medical necessity, timely filing, eligibility, coordination of benefits, and non-covered services — escalating systemic issues with proposed solutions. Navigate clearinghouses (e.g., Change Healthcare/Optum, Availity) and payor portals to verify eligibility, check claim status, and pull EOBs and remittance detail. Execute the manual, time-consuming administrative billing tasks that keep the operation moving — demographic and insurance corrections, claim resubmissions, payor follow-up calls, and documentation upload. Maintain meticulous notes and worklog hygiene in the RCM system so that every claim has a clear audit trail. Surface trends in denial reasons, payor behavior, and process gaps to the Head of RCM and contribute ideas for workflow improvements. Collaborate with Customer Support, Clinical Operations, and Lab teams to resolve the upstream issues that drive downstream denials. What You'll Ne ed: 2–5 years of revenue cycle, billing, or claims experience in a laboratory, diagnostic, or genetic testing environment (currently working at a peer lab is a strong plus). Hands-on experience with Xifin strongly preferred; experience with other lab RCM systems or clearinghouses (Change Healthcare/Optum, Availity, payor portals) will also be considered. Demonstrated experience working claims for out-of-network providers with commercial payors. Working knowledge of both front-end and back-end rejections and denials, and a proven track record of successful appeals. Required working knowledge of the following denial categories: Prior authorization Medical necessity Timely filing Eligibility Coordination of benefits Non-covered services Sharp attention to detail and the patience to work high volumes of detailed administrative tasks without losing accuracy. High-energy, go-getter mentality — you take initiative, you don’t wait to be told what to do next, and you close loops. Strong written and verbal communication skills, including the ability to write clear, persuasive appeal letters. Comfort with ambiguity and a willingness t