Revenue Cycle Claims Specialist

April 15

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Natera

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Natera is a global leader in cell-free DNA testing technology, specializing in non-invasive genetic testing and diagnostics. The company's innovative solutions focus on areas such as prenatal screening, cancer detection, and organ transplant monitoring. By using advanced bioinformatics and DNA analysis, Natera provides healthcare professionals and patients with critical information to make more informed medical decisions.

Non-Invasive Prenatal Testing (NIPT) • Single gene diseases • Preimplantation Genetic Screening (PGS)/Diagnosis (PGD) • Biopsy training • Multi-Disease Carrier Screening

1001 - 5000 employees

Founded 2004

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

📋 Description

•Responsible for building and maintaining collaborative and productive relationships within the organization relating to Revenue Cycle Management •Manage revenue cycle projects and drive performance in operations related to reimbursement •Provide direction and oversight of processes impacting cash collections •Serve as a source of knowledge for the designated revenue cycle function •Perform analysis, identify trends, present opportunity areas, and prioritize initiatives for performance improvement •Develop appropriate workflows and tracking for the designated revenue cycle function •Establish ongoing working relationships with other departments impacting revenue cycle performance •Work closely with various vendor operations teams •Track outcomes of payment resolution, appeals, and negotiated claims •Lead weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities •Research billing and coding changes to determine departmental actions •Coordinate with Management to ensure understanding of trends/issues affecting revenue cycle performance •Develop goals and metrics to link department and revenue cycle initiatives with the organization's strategy •Manage successful completion of implementation and project plans •Act as an educator on performance improvement requirements •Continuously seek new and creative technologies to guide improvement opportunities that align with overall company success

🎯 Requirements

•At least 3 years of experience in medical billing and Insurance collections •At least 3 years of experience with Prior Authorization requirements, payer utilization management policies and Appeals •Knowledge of CPT/HCPCS, ICD-10, modifier selection and UB revenue codes •Healthcare related field of study or equivalent experience. •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

🏖️ Benefits

•Competitive Benefits•Comprehensive medical, dental, vision, life and disability plans•Free testing for employees and families•Pregnancy and baby bonding leave•401k benefits•Commuter benefits•Generous employee referral program