Associate Revenue Cycle Analyst – Billing

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $58.7k - $77k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Natera

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2004

🏥 Healthcare

🧬 Biotechnology

⚕️ Healthcare Insurance

Healthcare • Biotechnology • Healthcare Insurance

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.

📋 Description

• Serve as a subject matter expert for clean claim submission and front-end billing processes • Analyze claim rejections and operational data to identify trends, recurring issues, root causes, and improvement opportunities • Investigate EDI and clearinghouse rejections, duplicate submissions, ICN issues, authorization-related rejections, provider enrollment and NPI registration issues, patient demographic errors, and other claim submission barriers • Research rejection reasons and provide documentation, system corrections, or operational changes to cross-functional teams • Evaluate broader claim population, payer, workflow, and business-process impacts • Identify upstream causes and develop sustainable solutions to prevent recurrence and reduce downstream denials • Use SQL and Snowflake to analyze claim and operational data, quantify issues, validate root causes, and measure improvement • Use advanced Excel functionality, including pivot tables and lookup functions, to analyze large datasets and create actionable reporting • Develop dashboards, reports, automation, tracking tools, and analytical resources • Manage complex issue-resolution and improvement initiatives through investigation, coordination, testing, implementation, and performance monitoring • Partner with Coding, Insurance Verification, Prior Authorization, provider enrollment, technology, vendor operations, and other teams • Maintain ownership of cross-functional issues through successful resolution • Develop and improve workflows and SOPs • Monitor KPIs, rejection trends, and operational performance • Create and present executive-ready presentations on trends, root causes, remediation, project status, and revenue cycle impacts • Translate complex billing and analytical findings into recommendations for teams and leadership • Maintain knowledge of payer requirements, billing rules, EDI processes, and claim-submission changes • Educate operational teams on issues, process improvements, and best practices • Identify opportunities to use data, technology, automation, and workflow improvements to increase clean claim rates

🎯 Requirements

• Bachelor's degree in business, healthcare, analytics, or a related field preferred • 2–3+ years of experience in medical billing, claims operations, revenue cycle management, insurance collections, or a related healthcare function • Strong understanding of healthcare revenue cycle processes and the claim lifecycle • Experience investigating claim rejections, EDI transactions, clearinghouse issues, payer requirements, provider enrollment, or other front-end billing issues strongly preferred • Working knowledge of medical billing and coding concepts, including CPT/HCPCS, ICD-10, modifiers, authorization requirements, payer requirements, and claim identifiers • Proficiency with Microsoft Excel, including pivot tables, lookup functions, data manipulation, and analysis of large datasets • Working knowledge of SQL and experience using a data warehouse or analytics platform such as Snowflake • Ability to independently obtain data needed to answer business questions using SQL, including effectively leveraging AI-assisted query development when appropriate • Ability to analyze data, recognize patterns, investigate root causes, and translate findings into actionable operational solutions • Strong project management and organizational skills, with ability to independently drive initiatives from problem identification through implementation and post-implementation monitoring • Strong written and verbal communication skills, including ability to create polished presentations and communicate detailed findings to leadership • Ability to work autonomously, follow complex issues through multiple systems or teams, and proactively determine appropriate next steps • Strong critical-thinking, problem-solving, and solution-oriented mindset • Ability to quickly learn new revenue cycle processes, systems, technologies, and payer requirements

🏖️ Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents • Free testing for employees and their immediate families • Fertility care benefits • Pregnancy and baby bonding leave • 401k benefits • Commuter benefits • Employee referral program