Full-Time
Revenue Cycle Claims Specialist-Temp
Posted on 3/24/2024
Specializes in cell-free DNA testing for healthcare
Compensation Overview
$23 - $29Hourly
Mid
Remote in USA
- 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.
- 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.
At Natera, employees contribute to a global leader in cell-free DNA testing, an essential field for advancements in oncology, women's health, and organ health. The company's strong commitment to validation through over 100 peer-reviewed publications highlights a dedication to data-driven results and continuous improvement, making it a place of rigorous scientific endeavor and innovation. Here, one can actively participate in shaping the future of personalized healthcare decisions, fostering a dynamic and impactful work environment.
Company Stage
IPO
Total Funding
$1.2B
Headquarters
Austin, Texas
Founded
2004
6 month growth
↑ 9%1 year growth
↑ 15%2 year growth
↑ 24%Benefits
Flexible medical plans
Investment options
Time off
Workplace perks