Associate Revenue Cycle Analyst – Claim Rejections

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $58.7k - $75k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

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Natera

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2004

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Biotechnology • Healthcare Insurance • Pharmaceuticals

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

• Investigating and resolving complex front-end billing issues that impact claim acceptance and reimbursement. • Focus on EDI rejections, insurance verification, and claim submission errors. • Assisting with developing appropriate workflows for the designated revenue cycle function. • Establishing ongoing working relationships with other departments impacting revenue cycle performance. • Working closely with vendor operations teams to oversee operations activities. • Tracking outcomes of payment resolution, appeals, and negotiated claims. • Leading weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities. • Continuously reviewing and monitoring billing and coding changes.

🎯 Requirements

• Bachelors Degree in business or healthcare related field of study preferred. • At least 2-3 years of experience in medical billing and Insurance collections. • Basic knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes. • Proficiency with medical billing systems, Microsoft Excel, medical terminology and basic procedure coding knowledge. • Proficient in spreadsheet development (VLOOKUPS, pivot tables, etc.). • 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. • Analytical skills required.

🏖️ Benefits

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