Revenue Cycle Claims Specialist-Temp
Posted on 5/3/2023
INACTIVE
Natera

1,001-5,000 employees

Global leader in personalized genetic testing
Company Overview
Natera stands as a global leader in cell-free DNA testing, with a dedicated focus on oncology, women’s health, and organ health, aiming to integrate personalized genetic testing into standard healthcare practices. The company's competitive advantage lies in its proprietary cfDNA technology platform, which has been validated by over 100 peer-reviewed publications for its high accuracy, and its diverse team of experts from various fields. Natera's commitment to industry leadership is evident in its ISO 13485-certified and CAP-accredited laboratories, and its proactive stance against cyber crimes, ensuring a secure and innovative work environment.
Biotechnology

Company Stage

N/A

Total Funding

$1.2B

Founded

2004

Headquarters

Austin, Texas

Growth & Insights
Headcount

6 month growth

7%

1 year growth

11%

2 year growth

20%
Locations
Remote
Experience Level
Entry
Junior
Mid
Senior
Expert
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
  • Bachelor's Degree
  • 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
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
  • Responsible for developing appropriate workflows and tracking for the designated revenue cycle function
  • Establishes an ongoing working relationship with other departments impacting revenue cycle performance
  • Works closely with various vendor operations teams (Prior authorization, Claims and Appeals) to oversee operations activity that directly impacts the revenue cycle to accurately process actions in a timely manner for optimal reimbursement
  • Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met
  • Leads 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 actions
  • Coordinates with Management to ensure thorough understanding of trends/issues affecting revenue cycle performance
  • Develops goals and metrics to link department and revenue cycle initiatives with the organization's strategy
  • Develops, manages 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
  • Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall company success