[Hiring] Associate Revenue Cycle Analyst @Natera

Role Description

The Associate Revenue Cycle Analyst supports the Denials and Appeals team and is responsible for analyzing medical claims that receive non-payment. This individual is responsible for:

• Analyzing denied claims
• Tracking and reporting on trends
• Conducting root cause analysis
• Implementing processes and actions to ensure payment resolutions lead to appropriate payments
• Submitting and negotiating payment requests and appeals with payers
• Developing and deploying processes to submit and monitor independent dispute resolution requests and appeals

Job Responsibilities:

• Serves as a source of knowledge for the Denials and Appeals team
• Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function
• Assists with developing appropriate workflows and tracking trends related to denials and appeals
• Establishes an ongoing working relationship with other departments impacting revenue cycle performance
• Works closely with the vendor operations teams to oversee operations activity that directly impact the revenue cycle
• Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met
• Leads weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities
• Continuously reviews and monitors billing and coding changes, and researches, evaluates, and interprets guidance from various sources
• Coordinates with Management to ensure thorough understanding of trends/issues affecting revenue cycle performance
• Supports goals and metrics to link department and revenue cycle initiatives with the organization's strategy
• Develops, manages, and monitors successful completion of implementation and project plans
• Acts as an educator on performance improvement requirements in operations and methodologies to related teams and departments
• Continues to seek new and creative technologies that help identify and guide improvement opportunities

Qualifications

• Bachelors Degree in business or healthcare related field of study is strongly preferred
• At least 2-3 years of experience in medical billing and Insurance collections
• Basic knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes
• Intermediate Excel skills for reporting (Pivot tables, LOOKUPS, etc.)
• Experience utilizing PowerBI

Requirements

• Proficiency with medical billing systems, Microsoft Excel, medical terminology, and basic procedure coding knowledge
• Knowledge of medical terminology and abbreviations, and health care nomenclature and systems
• Strong communication (verbal and written), organizational, problem-solving, and team player skills
• Ability to navigate across multiple customer demands and balance competing priorities successfully
• Ability to analyze, identify, and articulate identified trends and report trends succinctly
• Ability to solve problems using critical thinking skills
• Maintains confidentiality of sensitive information
• Analytical skills required
• Ability to think critically and identify the impact across the revenue cycle with a solution-oriented approach
• Ability to develop, implement, and produce analysis and reports

Benefits

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

Company Description

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated professionals from world-class institutions who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly, being part of a company that is changing the landscape of genetic disease management.