Methodist Billing Jobs in Georgia (NOW HIRING)

About Us

CSI Laboratories, a Fulgent Genetics Company, is a nationally recognized cancer testing and diagnostics laboratory experienced in helping pathologists and oncologists diagnose and treat cancer patients.

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

This position supervises day to day operations of the Billing department including accounts receivable, client billing, patient collections and third party payors. Maintains revenue by establishing, implementing and controlling billing system and practices.

Key Job Elements

• Supervises and monitors daily billing department practices through all phases of coding, data entry, billing and collection to ensure that services are billed and revenue is collected in keeping with Medicare and Medicaid regulations and insurance company requirements, in support of the department’s revenue budget goals.
• Organizes and structures work assignments for Billing staff according to workflow needs. Analyzes trends affecting accounts receivable and takes appropriate action to realign staff as needed to ensure efficient operation in maintained.
• Prepares monthly spreadsheets for project tracking and departmental reports.
• Generates and analyzes reports to identify problems and trends in revenue management and staff productivity i.e. aging reports, AR staff collection reports, and electronic payment system reports.
• Approves/completes designated teams’ insurance carriers adjustments and/or write offs processed by the Accounts Receivable team.
• Implements and ensures compliance with revenue management policies, procedures and best practices.
• Accomplishes billing departmental objectives by measuring billing results against plans and evaluating and improving methods.
• Communicates with patient, payers, government agencies and/or collection agencies to resolve outstanding insurance claims issues, as needed.
• Interpret documentation and medical terminology to review and verify diagnosis coding and updates code as required. Knowledge and clear understanding of defined payer requirements to facilitate claim acceptance.
• Guides employee actions by researching, developing, writing, and updating billing policies, procedures, methods, and guidelines. Acts as a resource and provides guidance regarding patient and/or client related resolutions.
• Participates in selection, orientation, training, assignment, scheduling, coaching and counseling for new and current department employees. Communicates job expectations and appraises job performance and contributions.
• Updates job knowledge by participating in educational opportunities including professional publications review and ongoing training and development.
• Accomplishes department and organization business objectives by completing related activities as needed.

Knowledge/Experience

• Bachelor’s Degree preferred or an equivalent combination of education and experience.
• Minimum of five years experience in medical billing management
• General office and computer skills
• Extensive medical billing background
• Data entry, problem solving and customer complaints
• Non-technical laboratory personnel must complete at least six hours of continuing education annually.

Supervisor Responsibilities

• Yes

Reports To

• Billing Manager

Environment

Fulgent Therapeutics LLC/CSI 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.