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 Director - Revenue Cycle leads the billing, collection and accounts receivable management team while maintaining a full understanding of company’s billing system and all aspects of revenue cycle management. The Senior Director manages the activities of the centralized billing staff through daily supervision while overseeing all Billing and Eligibility functions. In addition, the Senior Director Interfaces with the Billing Vendor (Quadax) for Hybrid and outsourced billing.
The Senior Director executes and implements strategic goals for each location through the utilization of their leadership team. This role leads the employees who direct and plan daily workflow activities for billing staff members.
Key Job Elements
- Direct Billing Management and staff to ensure that accurate submission of all claims and timely collections occurs in accordance with all third-party contract terms including, Medicare, Medical, managed care, commercial insurance, and direct patient pay.
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- Establish and maintain all billing and financial data, including medical billing code tables, rate schedules and payer information.
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- Analyze reimbursement from all sources, including carrier reimbursement exception reporting and follow up pending claims analysis and denials management.
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- Assure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
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- Maintain and enhance billing policies and procedures for each function in the revenue cycle process and ensure staff adherence to policies.
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- Prepare detailed analyses and reports of billing and accounts receivable activity and results, including performance matrixes, bad debt expense and AR days outstanding.
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- Manage for continuous improvements within the revenue cycle process.
- Effectively interact with all departments
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- Provides mentoring, coaching and performance reviews for direct reports.
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- Manages all outreach billing operations, including hiring, orientation, training, development, coaching, corrective actions, and ongoing monitoring of all staff work-related activities.
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- Ensures consistent quality of the billing services by distributing and assigning duties and responsibilities to employees, ensuring skill levels are appropriate to the assigned tasks, and monitoring the department’s productivity.
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- Leads a high-performance team responsible for Data Entry, CPT and ICD-10 Coding, Cash Posting, Denial and Accounts Receivable Management, Refunds Processing, and Call Center Operations.
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- Provides leadership, drives change, and facilitates process improvements.
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- Actively collaborates with the Finance team on analysis of billing activity for monthly financial reporting, the sales and marketing team of new and existing clients, and senior management on performance and new initiatives.
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- Participates in the Compliance Committee for Coding and Billing related items; establishes and enforces departmental and company policies and procedures.
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- Develops and monitors operating procedures and, where necessary, implements changes in workflow to improve productivity.
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- Launches, manages, and monitors integration initiatives for new billing locations.
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- Creates and holds billing leadership accountable for established performance and production standards.
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- Maintains billing related quality patient outcomes.
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- Conducts annual performance evaluations, makes hiring decisions, and develops corrective action plans when necessary.
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- Provides educational opportunities for staff Pathologists regarding coding matters.
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- Interfaces with third party payers to resolve reimbursement issues and provides guidance to appropriate senior leadership regarding contracting challenges.
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- Recruits, hires, trains and develops team. Provides direction to and development of associates through daily coaching, the administration of Performance Management, and the creation and implementation of development plans.
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- Assesses performance and provides timely and constructive feedback to staff. Determines additional training needs. Prepares annual performance evaluations and recommends merit increase and bonus percentages.
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- Promotes organizational efficiency, needed change and continuous quality improvement. Identifies and implements opportunities for automation and improved efficiency.
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- Assists as needed to perform other related duties and special projects as required.
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