Revenue Cycle Management Supervisor

FULGENT THERAPEUTICS LLC•Coppell, TX

9d•Onsite

About The Position

The Revenue Cycle Management Supervisor oversees accounts receivable (AR) follow-up, denials, appeals, and collections for anatomic pathology and genetics laboratory services in the Quadax revenue cycle management system. As technical lead for senior collectors and the collections team, the Supervisor ensures effective follow-up, accurate documentation, and timely claim resolution. The role manages designated worklists and holds, monitors assigned inventories, and establishes ownership, follow-up, and escalation standards. Working with the Revenue Cycle Management Manager, the Supervisor trains and coaches staff, audits accounts, tracks key performance indicators, and identifies payment barriers. The Supervisor partners with billing, coding, and operational leaders to improve appeals, prevent recurring nonpayment, and increase reimbursement. The position supervises staff and reports to the Revenue Cycle Management Manager/Director.

Requirements

Associate degree, or at least four years of leadership or supervisory experience in lieu of a degree.
Laboratory revenue cycle management experience, preferably in anatomic pathology, molecular diagnostics, or genetics.
At least two years of denial management experience, including nonpayment research, root-cause analysis, corrective action, and resolution monitoring.
Expert Excel skills, including pivot tables, advanced formulas, lookups, and reconciliation of large AR and payer datasets.
Advanced ability to write and document SOPs, workflows, desktop references, and payer nonpayment trends.
Ability to train and coach collectors, audit accounts, assess productivity and quality, and communicate performance expectations.
Strong analytical, organizational, communication, and problem-solving skills.

Nice To Haves

Quadax RCM experience.
Collections and AR management experience in high-volume laboratory operations.
Experience resolving commercial and government insurance claims.
Experience writing payer-specific appeals supported by claim details, payer requirements, and documentation.

Responsibilities

Manage designated Quadax collections worklists, holds, and held-charge inventories, and monitor other inventories through resolution.
Assign worklist ownership, follow-up expectations, aging standards, and escalation procedures; verify daily follow-up advances claims and prioritizes aging, reimbursement opportunities, and payer deadlines.
Address repetitive account activity, duplicate appeals, unsupported resubmissions, and recurring unresolved issues; work with the Revenue Cycle Management Manager to balance workloads and prioritize backlogs and high-risk or high-value accounts.
Oversee denial research, corrective action, appeals, and payer follow-up for anatomic pathology and genetics claims.
Analyze nonpayment trends and identify demographic, eligibility, authorization, coding, submission, and payer-policy issues; coordinate corrective action with responsible teams.
Ensure appeals address denial reasons and include supporting documentation, submission confirmation, and follow-up; monitor outcomes and overturn rates.
Escalate systemic payer issues with account examples, financial impact, and recommended next steps; track corrective actions and verify underlying payment issues are resolved.
Guide senior collectors and team members on complex claims, payer requirements, Quadax workflows, and escalations.
Train and coach staff using production results, quality reviews, denial trends, and identified knowledge gaps; hold weekly one-on-ones to review KPIs, production, quality, barriers, and action items.
Monitor productivity, quality, follow-up, and documentation standards; partner with the Revenue Cycle Management Manager on performance concerns and improvement tracking.
Conduct documented quarterly collections audits, assess account research and corrective action, review documentation and appeal quality, assign corrective actions, and verify improvement through targeted reviews.
Lead biweekly AR reviews with the Revenue Cycle Management Manager for assigned NCS and genetics testing portfolios; present aging trends, reimbursement results, denials, appeal outcomes, payer barriers, and accounts needing escalation.
Track action owners, deadlines, and progress; use advanced Excel to analyze large datasets, reconcile inventories, identify collection opportunities, and report worklist performance and filing or appeal risks with recommendations.
Review adjustment and write-off requests beyond collectors’ authority, validate supporting details and collection efforts, approve requests within delegated authority, and route other requests to the appropriate leader.
Monitor adjustment trends to identify preventable revenue loss, training needs, and payer or workflow issues.
Serve as the first supervisory contact for escalated billing and collections inquiries from patients, clients, sales representatives, and internal teams.
Coordinate escalated medical-record requests and payer audits with appropriate departments; document, assign, and resolve escalations within established turnaround expectations, and track issues requiring management, compliance, contracting, or clinical review.
Maintain current collections SOPs, workflows, quick-reference guides, and desktop references; document payer-specific trends and approved corrective actions, communicate changes, and ensure staff training.
Maintain a portal inventory of users, access status, administrators, and enrollment or renewal requirements under organizational security policies.
Coordinate account resolution across billing, coding, and supervisory teams; share denial findings, payer updates, audit results, and workflow changes; establish handoffs and accountability and escalate emerging nonpayment trends.
Complete special projects and other duties as assigned.