Billing Specialist

Billing Specialist CSI Site - Alpharetta, GA 30004 Overview Level: Experienced Position Type: Full Time Education Level: High School Category: Biotech Description 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 An integral member of the billing team with primary responsibility for the timely follow up of insurance claims to insurance companies, patients, and other vendors such as hospital and/or nursing facilities. Also contacts patients and clients to verify insurance information to authorize services. Key Job Elements Triaging and categorizing the daily requisition load in the billing system based on billing instructions (client, split bill, and third-party billing). Client billing: Acquires and verifies information needed to complete client, hospital and physician practice billing. Enters client charges into the billing system. Electronic billing software: Uses the current software as appropriate for the follow-up and collections of past due accounts. Documentation: Obtain necessary documentation (updated medical order, clinical notes, patient agreement, etc.) and submit to outsourced billing company for all third-party billing (Insurance and Medicare Billing arrangements). Follow-Up Correspondence: Contact clients, physician offices, and hospitals to relay and/or obtain pertinent information and/or documents to effectively bill insurance claims and client invoices. Follow-up on missing information for Client and outsourced Third-Party Billing agency as necessary. Respond to customer inquiries and complaints by telephone and in writing. Serve as liaison between Sales team to follow-up with clients and customers with active, inactive and delinquents accounts. Support other staff members including Sales and Finance Departments by assisting with their job duties, as necessary. Perform daily cash deposits as necessary and maintain daily cash posting summaries and reconciliations. Responsible for sending weekly, bi-weekly, and monthly invoices to the client via email, e-fax, and physical mail. Also, responsible for invoice adjustments and client A/R. Responsible for processing and posting client payments. Other duties as assigned. Qualifications Knowledge/Experience H.S. Diploma or equivalent required, Associate's or Bachelor's preferred. Billing certification is a bonus. Minimum 2+ years of experience in Medical Billing. Basic understanding of CMS guidelines, including 14-day rule. Non-technical laboratory personnel must complete at least six hours of continuing education annually. Additional Skills Knowledge of collection techniques and processes. Strong attention to detail. Experience working with all payer types to include Clients (referring hospitals, physicians and other private practices), Medicare, Medicaid, and third-party commercial insurance companies. Superior communication and customer service skills. Ability to handle multiple tasks simultaneously under strict deadlines. Proficiency in MS Office Suite. Supervisory Responsibilities No Reports To Billing Supervisor 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 of the position. 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.