What are the responsibilities and job description for the Senior Director - Revenue Cycle Management position at Fulgent Therapeutics Llc?
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.
Establish and maintain all billing and financial data, including medical billing code tables, rate schedules and payer information.
- Prepare detailed analyses and reports of billing and accounts receivable activity and results, including performance matrixes, bad debt expense and AR days outstanding.
- Manage for continuous improvements within the revenue cycle process.
- 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.
- 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.
Provides leadership, drives change, and facilitates process improvements.
- 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.
- Participates in the Compliance Committee for Coding and Billing related items; establishes and enforces departmental and company policies and procedures.
- Develops and monitors operating procedures and, where necessary, implements changes in workflow to improve productivity.
- Launches, manages, and monitors integration initiatives for new billing locations.
- Creates and holds billing leadership accountable for established performance and production standards.
- Maintains billing related quality patient outcomes.
- Conducts annual performance evaluations, makes hiring decisions, and develops corrective action plans when necessary.
- Provides educational opportunities for staff Pathologists regarding coding matters.
- Interfaces with third party payers to resolve reimbursement issues and provides guidance to appropriate senior leadership regarding contracting challenges.
- 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.
- 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.
- Promotes organizational efficiency, needed change and continuous quality improvement. Identifies and implements opportunities for automation and improved efficiency.
- Assists as needed to perform other related duties and special projects as required.
Knowledge/Experience
- 8-12 years experience in managing a high-volume, fast-growing billing office within the laboratory or pathology setting is preferred (staff of 100 ).
- Extensive knowledge of reimbursement, billing, coding, and compliance regulations is required.
- Demonstrated leadership ability in a multi-site environment.
- Capacity to actively engage and communicate with a wide variety of employees, senior leaders and external auditors to drive change and problem solve.
- Ability to respond to change quickly and generate creative ideas and solutions to emerging business changes.
- Active, visible and influential leadership style such as ability to directly engage, arrive at conclusions, drive consensus, and monitor actions in support of quality outcomes.
- Skilled in researching, interpreting, and presenting data in a concise manner.
- Demonstrates strong ability to effectively plan, organize, and delegate.
- Leads by example and demonstrates commitment to continual improvement and a passion for excellence.
- Maintains a high standard of discipline, professionalism, and sound decision making for excellence.
- Ability to motivate a highly successful team to exceed performance goals, drive change, and lead a growing staff.
- Personable, persuasive, and comfortable navigating all levels of the workforce.
- Communication – 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.
- Teamwork – 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.
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.
Please note that Fulgent (and its affiliated companies, including Inform Diagnostics and CSI Laboratories) does not accept unsolicited information and/or resumes from search firms or agencies for our job postings. Search firms or agencies without an applicable contract and/or express approval to recruit for the role in question — that choose to submit a resume or client information to our career page or to any employee of Fulgent — will not be eligible for payment of any fee(s), and any associated shared data will become the property of Fulgent.
