Process Improvement Partner, Payment Posting

About Natera: 

​Natera is a global leader in cell-free DNA (cfDNA) testing, specializing in oncology, women's health, and organ health. Our mission is to integrate personalized genetic testing and diagnostics into standard healthcare practices, facilitating earlier and more targeted interventions that contribute to longer, healthier lives.

Leveraging a cutting-edge technology platform that combines novel molecular biology techniques with advanced bioinformatics software, Natera can detect down to a single molecule in a blood sample. This technology underpins a range of products, including Panorama™, a highly accurate noninvasive prenatal test; Signatera™, a tumor-specific assay for individualized cancer care; and Prospera™, a test for assessing rejection in kidney transplantation. ​

Founded in 2004 and headquartered in Austin, Texas, Natera operates CAP-accredited laboratories certified under the Clinical Laboratory Improvement Amendments (CLIA) in both San Carlos, California, and Austin, Texas. We have processed over 10 million tests and have more than 150 medical professionals on staff, providing expert support to help make test results clear and easy to understand.

POSITION SUMMARY:

The Process Improvement Partner, Payment Posting is responsible for monitoring and analyzing operational data metrics, and working collaboratively with the payment posting team, other cross-functional teams and external vendors to ensure optimal operational performance. They will support process improvement projects focused on revenue cycle operations, billing workflows, automation opportunities, and process optimization. The ideal candidate will have strong data analysis skills (PowerBi, Excel), extensive experience in healthcare billing and payment posting, and knowledge of full cycle revenue cycle management.

PRIMARY RESPONSIBILITIES:

• Project & Program Management
• Participate in regularly scheduled meetings with managers/supervisors to assess issues and to identify and implement improvements for more efficient operations
• 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
• Support the Billing Strategy team in management of projects and preparation of adhoc/weekly reports and presentations

• Billing & Revenue Cycle Optimization
• Analyze end-to-end billing workflows to identify inefficiencies and automation opportunities.
• Understand upstream revenue cycle processes (insurance verification/eligibility, prior authorization, claims submission, adjudication, etc.) and their impact on payment posting.
• Evaluate self-pay, co-pay, payor plans, CPT codes, and billing processes to enhance accuracy and efficiency.
• Coordinate with multiple teams within the organization for process improvement/efficiencies

• Data Analysis & Reporting
• Develop actionable roadmaps for improving workflows and processes
• Performs in-depth reviews/audits to identify issues/trends and create remediation plan(s)
• Provide strong, timely financial and business analytics for decisions by organizational stakeholders
• Evaluate key performance indicators, provide ongoing reports, and recommend business plan updates
• Performs a wide range of analytics functions using tools such as Excel, Power BI and other business intelligence tools  
• Analyzes payment posting reimbursement trends
• Conducts complex data analysis and data interpretation  
• Meets established deadlines timely, accurately, and with a sense of urgency
• Performs 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