Associate Revenue Cycle Analyst - Denials & Appeals at Natera

United States

$48k - $70k

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, and putting processes and actions into place to ensure payment resolutions lead to appropriate payments. This position submits and negotiates payment requests and appeals with payers, and will develop and deploy 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. Assist 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 to accurately process actions in a timely manner for optimal reimbursement. 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 review and monitor billing and coding changes, and research, evaluate, and interpret guidance from a variety of sources to determine departmental actions. 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 that align with overall company success. 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 Required Knowledge, Skills and Abilities: 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 in a clear and concise manner. 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 The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations. Austin, TX $48,000—$70,000 USD OUR OPPORTUNITY 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 statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other 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. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management. WHAT WE OFFER Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program! For more information, visit www.natera.com. Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide. All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws. If you are based in California, we encourage you to read this important information for California residents. Link: https://www.natera.com/notice-of-data-collection-california-residents/ Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes. For more information: - BBB announcement on job scams - FBI Cyber Crime resource page