Senior Revenue Cycle Specialist
Company: Fulgent Therapeutics
Location: El Monte
Posted on: April 2, 2026
|
|
|
Job Description:
Description 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
This is a hybrid on-site position at our offices based either in El
Monte, CA or Coppell, TX. Per current policy, the first 90 days of
employment will require fully on-site attendance. After successful
completion of the probationary period, new hires may transition to
a hybrid schedule of 2 - 3 days on-site per week. This policy is
subject to change at the discretion of Inform Diagnostics executive
leadership. Position Description : Senior Revenue Cycle Specialists
are responsible for problem resolution and payment collection of
complex billing transactions. Utilizes expert problem-solving
skills to resolve complex billing issues, unpaid claims, and
customer complaints, taking all steps and coordinating corrective
action of a multi-functional nature to ensure full resolution of
prompt payment. Key Job Elements Handles correspondence related to
insurance or patient account, contacting insurance carriers as
needed to get maximum payment on accounts and identify issues and
corrective action to be taken. Identifies trends taking action to
help prevent reimbursement issues and delinquent accounts. Utilize
the identified trends and pattern recognition to identify defects
and eliminate them at the source. Collaborate with leadership and
other key stakeholders to make solution recommendations. Utilizes
expert problem-solving skills to resolve complex billing issues,
unpaid claims, and customer complaints, taking all steps and
coordinating corrective action of a multi-functional nature to
ensure full resolution of prompt payment. Examines all documents to
ensure bills are compliant. Determines appropriate steps and
communicates critical information to insurance companies, patients,
and leadership both verbally and in writing, to ensure concerns are
resolved in a timely manner and accounts are settled in full.
Communicates with carriers, patients, and management of all levels
as needed to get maximum payment/resolution on accounts and
identifies/resolves issues or changes to achieve profitability.
Acquires knowledge of payor fee schedules and denials. Demonstrates
in-depth understanding of Medicare, Medicaid and private payors,
policies and guidelines. Researches and resolves denials making
appropriate decisions on accounts to maximize reimbursement. Works
aging reports of unpaid claims to resolve claims. Works complex
projects and assignments requiring advanced knowledge and
experience in insurance accounts receivable. Assists as needed to
perform other related duties and special projects as required.
Qualifications Knowledge/Experience 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. The role will require interaction with a wide range of
fellow employees, clients, and other internal and external
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. 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 management’s assignment of essential
functions. Nothing in this job description restricts management’s
right to assign or reassign duties and responsibilities to this job
at any time0 . For California residents, please see the link below
to access our CCPA Privacy Notice. CCPA Privacy Notice for
California Residents https://tinyurl.com/FulgentCCPA 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.
Keywords: Fulgent Therapeutics, South Whittier , Senior Revenue Cycle Specialist, Customer Service & Call Center , El Monte, California