Market Access Payor Analyst

🔥 1 hour ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $90k - $112.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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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

• Profiling, researching, and resolving reimbursement issues for assigned payors, products, or lines of business. • Perform analysis, identify trends, present opportunity areas, and prioritize initiatives for payment and performance improvement. • Formulates and develops presentations for project analysis needs. • Identify functions and barriers that affect ASP and revenue including identifying trends, opportunities, and risks. • Compares payor reimbursement patterns based on medical policies, contract language, authorization requirements, and patient benefits. • Researches complex benefits and insurance verification. • Develop strategies to improve reimbursement and reduce denials based on trends and analysis findings. • Create management reports and custom dashboards & visualizations. • Conduct complex trend review, forecasting, sensitivity analysis, and other analyses. • Analyze payor behaviors, systems, and processes to optimize performance.

🎯 Requirements

• Bachelor’s Degree healthcare-related field of study or equivalent experience. • Minimum of 5 years of experience in revenue cycle or claim analysis. • Project management experience preferred. • Knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes. • Proficiency with medical or claim billing systems, Microsoft Excel, reporting software, and basic procedure coding knowledge. • Experience with PowerBi and SQL is desired. • Knowledge of medical terminology and abbreviations, and health care nomenclature and systems.

🏖️ Benefits

• Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. • Free testing in addition to fertility care benefits. • Pregnancy and baby bonding leave. • 401k benefits. • Commuter benefits. • Generous employee referral program.