Senior Billing Manager

About Us

Inform Diagnostics, a Fulgent Genetics Company, is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology.

Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform.

Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike.

Since integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a novel nanoencapsulation and targeted therapy platform. By merging our fields of expertise, we aim to become a fully integrated precision medicine company.

Summary of Position

The Senior Billing Manager is responsible for managing performance and policies administration for coding, data entry, billing and reimbursement activities for their team. This includes securing, maintaining, and distributing the most current coding and payer information and implementing changes in a manner that supports timely, accurate and compliant filing and reimbursement.

Key Job Elements

• Develop policies, and best practices to improve cash flow, AR.
• Oversees staff and billing operations performance.
• Recommends and implements strategic and operational plans and priorities to improve workflow efficiencies and reimbursement.
• Remain current with changes in billing and reimbursement regulations.
• Collaborates with management on operational performance and changes needed in the operation.
• Provides guidance to manager on leading and training staff on significant coding and billing changes.
• Gather and review reimbursement data, analyzes results, prepares report and oversee the resolution of any identified issues.
• Ensures that billing activities are executed under SOX controls.
• Assist with the selection, training, and performance evaluation of supervisors and staff.
• Plan, direct, and manage coding, billing, and collections leaders and staff to ensure timely, accurate, and complete processing of services while ensuring all quality and production goals are met.
• Resolve employee relations issues and recommends disciplinary action when required.
• Vendor relations involvement.
• Collaborate with Medical Practice, Account Management and Sales teams to ensure timely and accurate billing.
• Develop, implement, measure and communicate the relevant KPI metrics.

Knowledge/Experience

• Bachelors Degree in business administration, healthcare or related field or equivalent experience.
• Ten years billing experience in a healthcare environment and 5 years in manager role.
• Extensive knowledge of Revenue Cycle Management functions, including, but limited to Data Entry, ICD10 Coding, and Client Bill.
• Experience in Medicare hospital billing guidelines.
• Knowledge of medical Anatomical Pathology is a plus.
• SOX control experience a plus.
• Proficient in Microsoft Office Suite, specifically Word, Excel, and Outlook, and general working knowledge of Internet for business use.
• Ability to work in a fast-paced, deadline driven environment.
• Drive for Results (Service, Quality, and Continuous Improvement) Ensure procedures and processes are in place that lead to delivery of quality results and continually reassess their effectiveness to achieve continuous improvement.
• Proficient verbal and written communication skills. Willingness to share and receive information and ideas from all levels of the organization in order to achieve the desired results.
• Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.
• Customer Service Focus Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations.

This job description reflects management assignment of essential functions. Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to this job at any time.

Environment

Fulgent Therapeutics LLC is an Equal Employment Opportunity Employer.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term "qualified individual with a disability" means an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the position.