Associate Revenue Cycle Analyst - Patient Billing

Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine verification will be required.

Position Summary:

Natera is currently seeking an Associate Revenue Cycle Analyst to join the revenue cycle team. This position is responsible for analyzing medical claims that receive non-payment.  The successful candidate will be responsible for processes and actions that ensure payment resolutions and appropriate payments from third party payers and patients. The Associate Revenue Cycle Analyst submits and negotiates payment requests and appeals with payers.  They will also be expected to develop and deploy a process to submit and monitor independent dispute resolution requests and appeals.

 

Primary Responsibilities:

• Serves as a source of knowledge for the designated revenue cycle function.
• 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 for the designated revenue cycle function.
• Establishes an ongoing working relationship with other departments, outside vendors and call centers that directly impact revenue cycle performance.
• Works closely with the vendor operations teams to oversee operations activity that directly impacts the revenue cycle to drive performance related to reimbursement, and provide direction and oversight of processes impacting cash collections.
• Tracks outcomes of patient payments, payment resolutions, claim appeals, and negotiated claims to ensure goals are met.
• Leads weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities.
• Continually review and monitor billing and coding changes, 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 and maintain billing related quality patient outcomes.
• Supports goals and metrics to link department and revenue cycle initiatives with the organization's strategy.
• Develops, manages and monitors successful completion and implementation of 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.
• This role works with PHI on a regular basis both in paper and electronic form and has 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.

 

Qualifications: 

• Bachelors Degree in business or healthcare related field of study. 
• 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.

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

 

#LI-REMOTE

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.Colorado $60,000—$90,000 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, an