Revenue Cycle Billing Supervisor

Job Details Level: Experienced.

Job Location:

IDX Coppell TX Site - Coppell, TX 75019. Position Type:
Full Time. Education Level: High School. Job Category:
Biotech.

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.

The Revenue Cycle Billing Supervisor is responsible for overseeing front-end billing, pre-billing, claim readiness, and billing-related work queues for anatomic pathology and genetics laboratory services. This position will ensure charges and claims move accurately and timely through the Quadax Revenue Cycle Management system.

The Supervisor will oversee the offshore pre-billing team, working closely with the Manager and Director, and will serve as a technical resource for front-end billing processes. This role will directly manage designated worklists and hold categories while monitoring other billing-related inventories to ensure accountability, timely resolution, and compliance with payer timely-filing requirements.

This position will also lead the implementation and ongoing management of Quadax PAS pre-billing functionality for front-end eligibility verification and prior authorization screening.

• Oversee all Quadax pre-billing activities for anatomic pathology and genetics laboratory services.
• Supervise the offshore pre-billing team and establish clear productivity, quality, and turnaround-time expectations.
• Partner with Manager and Director to provide technical and operational support for front-end billing processes.
• Review charges and claims for billing readiness, including patient demographics, insurance information, ordering-provider information, diagnosis codes, procedure codes, authorization requirements, and supporting documentation.
• Ensure claims are released from Quadax accurately and within established billing timelines.
• Identify barriers preventing charges or claims from clearing the Quadax system and coordinate their resolution.

• Lead the implementation of Quadax PAS pre-billing functionality, which is not currently established within the organization.
• Develop workflows for front-end eligibility verification, benefit screening, and prior authorization validation.
• Work with Quadax and internal stakeholders to define system requirements, work queues, edits, routing rules, and escalation processes.
• Establish processes to identify services requiring prior authorization before claims are submitted.
• Monitor PAS results and ensure unresolved eligibility or authorization issues are assigned, worked, documented, and escalated appropriately.

• Directly manage assigned pre-billing worklists, billing holds, and held-charge inventories.
• Monitor billing-related worklists and holds assigned to other teams to ensure timely follow-up and resolution.
• Establish ownership, aging standards, escalation thresholds, and reporting requirements for each worklist and hold category.
• Review aging inventories regularly to prevent unbilled claims from exceeding payer timely-filing requirements.
• Escalate aged or high-risk inventory to revenue cycle…