Revenue Cycle Analyst, Prior Authorization
Natera- Full Time
- Junior (1 to 2 years)
Circle Medical
The ideal candidate should possess a Bachelor's degree in Finance, Business Administration, or a related field, with a Master's degree or MBA being a plus. They should have at least three years of experience in a progressive role in financial analysis or revenue cycle management, with significant experience in the US healthcare sector being a key advantage. Strong analytical and problem-solving skills are required, along with advanced communication and presentation skills, and proficiency in financial software and data analysis tools. Experience with Looker and SQL is also desirable.
The Financial Analyst, Revenue Cycle Management will analyze and interpret complex financial data related to revenue cycle operations, including billing, accounts receivable, denials/recoveries, and reimbursement rates. They will contribute to the implementation and execution of a revenue analysis process to optimize revenue and prevent losses, establish a reimbursement rate matrix, identify trends and opportunities for revenue improvement, and develop strategies to optimize revenue cycle operations. The role also involves collaborating with interfunctional teams, preparing financial reports and presentations, and tracking key performance indicators related to revenue cycle management.
Telehealth services for virtual medical consultations
Circle Medical provides telehealth services that allow individuals to access healthcare without visiting a physical clinic. The company connects patients with licensed healthcare providers through secure video chat, enabling virtual consultations for general medical issues, annual wellness exams, well-woman exams, and COVID-19 testing assessments. This approach enhances accessibility and reduces the need for in-person visits, which is especially useful during public health crises. Circle Medical generates revenue through insurance reimbursements and out-of-pocket payments, accepting all major insurance plans and offering a transparent billing process. The company targets tech-savvy individuals who value convenience and efficiency in their healthcare experience.