Associate Revenue Cycle Analyst

Company: Natera, Inc.
Location: San Carlos
Posted on: May 28, 2023

Job Description:

The Associate Revenue Cycle Analyst is responsible for analyzing medical claims that receive non-payment. - Process and actions are put into place to ensure payment resolutions lead to appropriate payments. This position submits and negotiates payment requests and appeals with payers. - This position will develop and deploy a process to submit and monitor independent dispute resolution requests and appeals.
Job Responsibilities:

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• Serves as a source of knowledge for the designated revenue cycle function - .
  
• Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function.
  
• Assist with developing appropriate workflows and tracking for the designated revenue cycle function.
  
• Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
  
• Works closely with the vendor operations teams to oversight operations activity that directly impact the revenue cycle to accurately process actions in a timely manner for optimal reimbursement.
  
• Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
  
• Leads weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities.
  
• By continually reviewing and monitoring billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions.
  
• Coordinates with Management to ensure thorough understanding of trends/issues affecting revenue cycle performance.
  
• Supports goals and metrics to link department and revenue cycle initiatives with the organization's strategy.
  
• Develops, manages and monitors successful completion of implementation and project plans.
  
• Acts as an educator on performance improvement requirements in operations and methodologies to related teams and departments.
  
• Continues to seek new and creative technologies that help identify and guide improvement opportunities that align with overall company success.
  
  Qualifications: -
  
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  • Bachelors Degree in business or healthcare related field of study. -
    
  • 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.
    
    Required Knowledge, Skills and Abilities:
    
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    • Proficiency with medical billing systems, Microsoft Excel, medical terminology and basic procedure coding knowledge.
      
    • Knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
      
    • 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.
      
    • Maintains confidentiality of sensitive information.
      
    • Analytical skills required.
      
    • Ability to think critically and identify the impact across the revenue cycle with a solution oriented approach.
      
    • Ability to develop, implement and produce analysis and reports
      
      #LI-REMOTE

Keywords: Natera, Inc., San Francisco , Associate Revenue Cycle Analyst, Professions , San Carlos, California