Manager Reimbursement

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 Manager of Reimbursements is responsible for providing both technical and analytical expertise necessary to forecast and analyze reimbursement from either government or commercial sponsored programs, fulfill various reporting requirements, conduct necessary analysis and recommendations to maximize cash collection performance.

Key Job Elements

• Develop appropriate monthly, quarterly and YoY dashboards to evaluate payor collection performance and trends.
• Analyze accounts receivable and cash collection trends and identify project opportunities; develop an present business cases for project prioritization.
• Identify appropriate technology solutions to support continued improved cash collection performance.
• Manage projects, collaborating, as appropriate, with the entire organization (Billing Operations, Managed Care, Sales, Client Service, Finance, Coding, IT, Operations) to drive improved cash collections.
• Set targets for improved cash collections and report actual performance against these targets; continue to monitor performance for process control.
• Stay current with developing payor coverage and administrative policy changes that could have an impact on payor cash collections; develop appropriate responses and plans to mitigate these risks.

Knowledge/Experience

• Bachelors degree required in business; MBA a plus.
• Minimum 5 years experience in healthcare in a reimbursement environment.
• Significant knowledge and experience with healthcare service provider revenue cycle is required.
• Anatomic pathology or laboratory diagnostic experience, a plus.
• Expert knowledge of Microsoft Office Suite, specifically Excel, Power Pivot, Access, Word, Outlook,
• Accounting Software, and general working knowledge of the Internet for business use. Demonstrated
• ability to learn new software packages
• Expert knowledge of data mining and data linkage techniques required. Significant hands-on use of Data
• Warehouses, Analysis Services, SQL Server, WinSQL or other SQL applications, a plus.
• Expertise in government and private payor reimbursement requirements is required.
• Proven record of successfully finding and positively impacting healthcare service provider cash flow
• through a disciplined business approach of monitoring payor denials, general allowed amount trends, and patient receivables, and then developing innovative and collaborative solutions to drive improved performance.
• Experience developing cash collection improvement strategies in both a contracted and non-contracted payor environment.
• Excellent analytical and project management skills.
• Demonstrated leadership and interpersonal skills. The role will require interaction with a wide range of fellow employees, senior leaders, as well as external auditors and experts.
• Maintain a high standard of discipline and professionalism.
• Ability to think creatively and initiate new ideas or solutions to business issues.
• Independence of thought and sound judgment relating to business needs.
• Demonstrated commitment, self-motivation, and drive.
• Possess strong interpersonal skills and the ability to sell the business reason for the change. Act as an agent of change while maintaining the appropriate level of independence.
• Ability to work in a fast-paced, competing, deadline-driven environment.

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.

This job description reflects managements assignment of essential functions. Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to this job at any time.

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.