Senior Revenue Cycle Specialist

1 day ago


Coppell, Texas, United States FULGENT THERAPEUTICS LLC Full time
{"Job Title": "Senior Revenue Cycle Specialist", "Job Description": "Job Summary

We are seeking a highly skilled Senior Revenue Cycle Specialist to join our team at FULGENT THERAPEUTICS LLC. This role will be responsible for resolving complex billing issues, collecting payments, and ensuring compliance with government and private payor reimbursement policies.

Key Responsibilities
  • Resolve complex billing issues and unpaid claims through expert problem-solving skills and coordination with insurance carriers and patients.
  • Identify trends and take action to prevent reimbursement issues and delinquent accounts.
  • Collaborate with leadership and stakeholders to make solution recommendations and implement process improvements.
  • Communicate critical information to insurance companies, patients, and leadership through verbal and written correspondence.
  • Acquire knowledge of payor fee schedules and denials to maximize reimbursement.
  • Research and resolve denials, making appropriate decisions on accounts to ensure maximum reimbursement.
  • Work aging reports of unpaid claims to resolve claims and ensure timely payment.
  • Assist with complex projects and assignments requiring advanced knowledge and experience in insurance accounts receivable.
Requirements
  • High School Diploma or GED
  • Minimum 4 years' experience in complex healthcare billing reimbursement environment
  • Advanced knowledge of government and private payor reimbursement required
  • Anatomic pathology or diagnostic laboratory experience a plus
  • Demonstrated interpersonal skills and ability to interact with a wide range of stakeholders
  • Maintain a high standard of discipline and professionalism
  • Ability to think creatively and initiate new ideas or solutions to business issues
  • Demonstrated commitment, self-motivation, and drive
  • Ability to work in a fast-paced and deadline-driven environment
", "Company": "FULGENT THERAPEUTICS LLC", "Language": "en-US"}

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