Natera
Revenue Cycle Analyst, Prior Authorization
Job Summary
The Revenue Cycle Analyst, Prior Authorization at Natera is responsible for analyzing operational data, monitoring payer trends, and supporting process improvements related to prior authorization and revenue cycle functions. The role requires strong data analysis skills, healthcare experience in medical billing and insurance collections, and familiarity with payer policies. The candidate will interpret complex data, identify trends, and collaborate across departments to enhance revenue cycle performance. It also involves educating teams, developing strategies, and seeking innovative technologies to improve operational efficiency.
Required Skills
Benefits
Job Description
About Natera, Inc.
Natera is a global leader in cell-free DNA testing, transforming the way genetic information is used in oncology, women’s health, and organ health. Our cutting-edge technology empowers healthcare providers with actionable insights to improve patient outcomes. At Natera, we foster a collaborative and innovative environment, where our employees play a critical role in shaping the future of personalized medicine.
Job Summary:
The Revenue Cycle Analyst, Prior Authorization is responsible for analyzing operational data metrics and researching payer trends/policies to assist with strategy and process improvement related to Prior Authorization functions. The ideal candidate will have strong data analysis skills, experience with prior authorization and/or revenue cycle operations, and expertise in payer policies.
Job 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.
- Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
- Conducts complex data analysis and data interpretation
- Tracks outcomes of prior authorization submission, resolution, and appeals, to ensure goals are met.
- Participates in weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities.
- By continually reviewing and monitoring billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental strategy.
- Coordinates with Management to ensure thorough understanding of trends/issues affecting prior authorization and revenue cycle performance.
- Supports goals and metrics to link department and revenue cycle initiatives with the organization's strategy.
- Assists with development 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, or equivalent years of professional experience.
- At least 2-3 years of experience in medical billing and Insurance collections.
- Extensive knowledge in revenue cycle with an emphasis in prior authorization
Required Knowledge, Skills and Abilities:
- Strong communication (verbal and written), organizational, problem solving and team player skills.
- Advanced skills with data analysis tools such as Excel or PowerBI.
- 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.
- Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets).
- Motivated, shows initiative, and ability to work in fast paced environment.
- Drive for Results (Service, Quality, and Continuous Improvement).
- Commitment to the successful achievement of team and organizational goals.
#LI-AB1
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
Natera
Dedicated to oncology, women’s health, and organ health. Natera’s cell-free DNA tests help protect health and inform more personalized decisions about care.
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