Associate Director, Revenue Cycle Management Audit and Process Improvement

We are seeking an experienced and strategic Associate Director, Revenue Cycle Management Audit and Process Improvement to build and manage a comprehensive audit program for our revenue cycle processes and personnel. The ideal candidate will have a proven track record of leading revenue cycle audits, preferably within the labs/medical testing industry, and possess a deep understanding of the entire labs process from sample intake to billing.

Key Responsibilities

• Develop, implement, and manage a comprehensive audit program for revenue cycle, including process and personnel audits
• Direct audits and analysis, identify trends, present opportunity areas, and prioritize initiatives for performance improvement
• Identify areas of risk and recommend strategies to mitigate potential revenue loss
• Monitor key performance indicators and SLAs to ensure optimal process and personnel performance
• Collaborate with cross-functional teams, especially billing, to address audit findings and implement corrective actions
• Review and improve auditing templates with an effective scoring methodology to monitor RCM team performance
• Modify workflows, SOPs, and SLA tracking based on audit findings
• Oversee vendor operations teams to ensure accurate and timely processing for optimal reimbursement
• Lead weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities
• Develop performance goals and metrics aligned with the organization's strategy
• Supervise and mentor audit staff to enhance professional development

Qualifications

• Bachelor's degree in Accounting, Business, Healthcare related field, or equivalent experience
• 8-10 years of related experience in medical billing and/or insurance collections, including 5-7 years of experience with Prior Authorization requirements, AR & Denial management, payer utilization management policies, and appeals
• Certified in coding or similar coding management experience
• Proven experience leading revenue cycle audits and managing audit programs
• Lab & Diagnostic industry-based RCM experience
• Management experience required

Required Skills

• Ability to analyze information and create compelling stories at the executive level
• Understanding of the entire labs process and ability to create scalable processes
• Knowledge of denial reasons and resolution strategies
• Strong communication and collaboration skills
• Proficiency with medical billing systems, Microsoft Excel, medical terminology, and basic procedure coding
• Motivated to be creative and brainstorm innovative solutions
• Desire to work for a dynamic and growing molecular genetics laboratory

If you are passionate about driving performance improvement in revenue cycle management and thrive in a fast-paced, innovative environment, we'd love to hear from you. Join us in our mission to change the landscape of healthcare through cutting-edge molecular diagnostics.

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.Remote USA$133,900—$167,400 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!

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