Job description
About Natera:
Natera is a global leader in cell-free DNA (cfDNA) testing, specializing in oncology, women’s health, and organ health. Our mission is to integrate personalized genetic testing and diagnostics into standard healthcare practices, facilitating earlier and more targeted interventions that contribute to longer, healthier lives.
Leveraging a cutting-edge technology platform that combines novel molecular biology techniques with advanced bioinformatics software, Natera can detect down to a single molecule in a blood sample.This technology underpins a range of products, including Panorama™, a highly accurate noninvasive prenatal test; Signatera™, a tumor-specific assay for individualized cancer care; and Prospera™, a test for assessing rejection in kidney transplantation.
Founded in 2004 and headquartered in Austin, Texas, Natera operates CAP-accredited laboratories certified under the Clinical Laboratory Improvement Amendments (CLIA) in both San Carlos, California, and Austin, Texas. We have processed over 10 million tests and have more than 150 medical professionals on staff, providing expert support to help make test results clear and easy to understand.
POSITION SUMMARY: The Billing Strategy Lead, Payment Posting is responsible for monitoring and analyzing operational data metrics and works collaboratively with the payment posting team, other cross-functional teams and external vendors to ensure optimal operational performance. They will support management projects focused on revenue cycle operations, billing workflows, automation opportunities, and process optimization. The ideal candidate will have strong data analysis skills, healthcare billing, revenue cycle management knowledge, as well as experience with payment posting operations, and expertise in PowerBI.
PRIMARY RESPONSIBILITIES:
Project & Program Management
- Participate in regularly scheduled meetings with managers/supervisors to assess issues and to identify and implement improvements for more efficient operations
- Support management of projects to ensure successful and timely completion
- Support management in monitoring and tracking adherence of SOPs, SLAs, productivity and quality standards set by leadership
- Support the Billing Strategy team in management of projects and preparation of adhoc/weekly reports and presentations
Billing & Revenue Cycle Optimization
- Analyze end-to-end billing workflows to identify inefficiencies and automation opportunities.
- Understand upstream revenue cycle processes (insurance verification/eligibility, prior authorization, claims submission, adjudication, etc.) and their impact on payment posting.
- Evaluate self-pay, co-pay, payor plans, CPT codes, and billing processes to enhance accuracy and efficiency.
- Coordinate with multiple teams within the organization for process improvement/efficiencies
Data Analysis & Reporting
- Develop actionable roadmaps for improving workflows and processes
- Performs in-depth reviews/audits to identify issues/trends and create remediation plan(s)
- Provide strong, timely financial and business analytics for decisions by organizational stakeholders
- Evaluate key performance indicators, provide ongoing reports, and recommend business plan updates
- Performs a wide range of analytics functions using tools such as Excel, Power BI and other business intelligence tools
- Analyzes payment posting reimbursement trends
- Conducts complex data analysis and data interpretation
- Meets established deadlines timely, accurately, and with a sense of urgency
- Performs other duties as assigned
This role works with PHI on a regular basis both in paper and electronic form and will have access to various technologies to access PHI (paper and electronic) in order to perform the job
Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire
Must maintain a current status on Natera training requirements
QUALIFICATIONS:
- Bachelor’s Degree in business, economics, related field, or equivalent years of experience required.
- 3+ years of experience in revenue cycle management, healthcare billing, or related areas.
- Strong understanding of payment posting workflows, claims processing, payor plans, and CPT codes.
- Experience managing projects, tracking deliverables, and reporting on project status.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Advanced proficiency with quantitative software programs (Microsoft Excel,Google Sheets, PowerBI). Ability to pull, analyze, and visualize data using these programs (pivot tables, macros, formulas).
- Strong communication skills with the ability to present findings to executive leadership.
- Experience with SQL is a plus but not required. Billing systems experience a plus.
- Ability to define problems, collect and reconcile data, validate data against source information.
- Motivated, shows initiative, and ability to work in a fast paced environment.
- Drive for Results (Service, Quality, and Continuous Improvement).
- Commitment to the successful achievement of team and organizational goals.
#LI-AB1
The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
Austin, TX
$90,000—$120,000 USD
OUR OPPORTUNITY
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.
The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.
WHAT WE OFFER
Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!
For more information, visit www.natera.com.
Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.
All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.
If you are based in California, we encourage you to read this important information for California residents.
Link: https://www.natera.com/notice-of-data-collection-california-residents/
Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.
For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page
