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Billing Strategy Lead, Prior Authorizations @Natera

[Hiring] Billing Strategy Lead, Prior Authorizations @Natera

Mar 28, 2025 - Natera is hiring a remote Billing Strategy Lead, Prior Authorizations. 💸 Salary: $90,000 - $120,000 usd. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Billing Strategy Lead, Prior Authorizations is responsible for monitoring and analyzing operational data metrics and working collaboratively with the prior authorization teams to ensure optimal operational performance. The ideal candidate will have strong data analysis skills, experience with prior authorization operations, and expertise in PowerBI.

  • Participate in regularly scheduled meetings with managers/supervisors to assess issues and to identify and implement improvements for more-efficient operations
  • Provide strong, timely financial and business analytics for decisions by organizational stakeholders
  • Develop actionable roadmaps for improving workflows and processes
  • Perform in-depth reviews/audits to identify issues/trends and create remediation plan(s)
  • Coordinate with multiple teams within the organization for process improvement/efficiencies
  • Support management of projects to ensure successful and timely completion
  • Support management in monitoring and tracking adherence of SOPs, SLAs, productivity and quality standards set by leadership
  • Evaluate key performance indicators, provide ongoing reports, and recommend business plan updates
  • Support the Billing Strategy team in management of projects and preparation of adhoc/weekly reports and presentations
  • Perform a wide range of analytics functions in a fast-paced team environment using tools such as Excel, Power BI and other business intelligence tools
  • Analyze payer and product prior authorization, denial, and reimbursement trends
  • Design and execute improvement projects
  • Conduct complex data analysis and data interpretation
  • Meet established deadlines timely, accurately, and with a sense of urgency
  • Perform other duties as assigned

This role works with PHI on a regular basis both in paper and electronic form and will have access to various technologies to access PHI (paper and electronic) in order to perform the job. Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire. Must maintain a current status on Natera training requirements.

Qualifications

  • Bachelor’s Degree in business, economics, related field, or equivalent required
  • Minimum of 4 years of experience working with prior authorizations at an insurance company or healthcare billing organization

Requirements

  • Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets)
  • Ability to define problems, collect and reconcile data, validate data against source information
  • Motivated, shows initiative, and ability to work in a fast-paced environment
  • Drive for Results (Service, Quality, and Continuous Improvement)
  • Commitment to the successful achievement of team and organizational goals

Benefits

  • Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
  • Free testing for Natera employees and their immediate families
  • Fertility care benefits
  • Pregnancy and baby bonding leave
  • 401k benefits
  • Commuter benefits
  • Generous employee referral program

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Back to Remote jobs  >   All others
Billing Strategy Lead, Prior Authorizations @Natera
All others
Salary 💸 $90,000 - $120,000 usd
Remote Location
USA
Job Type unspecified
Posted Mar 28, 2025
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📍 Be aware of the location restriction for this remote position: USA
Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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