Revenue Cycle Analyst – Denials & Appeals

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $69.4k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

🦅 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

• Build and maintain collaborative relationships related to Revenue Cycle Management • Manage revenue cycle projects and drive reimbursement-related operational performance • Provide knowledge and oversight for the designated revenue cycle function • Analyze trends, identify opportunities, and prioritize performance-improvement initiatives • Ensure appropriate configuration of systems and workflows • Coordinate with departments and vendor operations teams to optimize reimbursement and cash collections • Track revenue cycle metrics and activities against goals • Lead weekly meetings covering metrics, workflows, trends, and improvement opportunities • Research and interpret billing and coding changes and translate them into departmental actions • Coordinate with management on trends and issues affecting revenue cycle performance • Develop goals and metrics aligned with organizational strategy • Develop, manage and monitor implementation and project plans • Educate related teams on performance-improvement requirements and methodologies • Research denial trends and analyze clinical, coding and reimbursement policies to create end-to-end improvement action plans

🎯 Requirements

• Bachelor’s Degree in business, analytics or healthcare related field of study, or equivalent years of relevant experience • At least 4-6 years of experience in medical billing and Insurance collections • Advanced 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 of medical terminology and abbreviations, and health care nomenclature and systems • Ability to analyze, identify and articulate trends and report them clearly and concisely • Ability to independently solve complex problems using critical thinking skills • Ability to develop, implement and produce complex analysis and reports • Advanced project management skills and ability to manage multiple projects • Ability to navigate multiple customer demands and balance competing priorities • Ability to maintain confidentiality of sensitive information

🏖️ Benefits

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

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