Billing Specialist

FULGENT THERAPEUTICS LLCAlpharetta, GA
Onsite

About The 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.

Requirements

  • H.S. Diploma or equivalent required
  • Minimum 2+ years of experience in Medical Billing.
  • Basic understanding of CMS guidelines, including 14-day rule.
  • 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.

Nice To Haves

  • Associate's or Bachelor's preferred.
  • Billing certification is a bonus.
  • Non-technical laboratory personnel must complete at least six hours of continuing education annually.

Responsibilities

  • 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.
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