[Remote] Associate Director - Insurance Verification, Coding & Billing Operations at Natera

United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical BillingIndustries

Requirements

Full understanding of Natera’s billing information system and all aspects of revenue cycle management
Experience leading registration, insurance verification, patient & provider demographics, medical ICD-10 coding, claims billing and submissions related A/R teams
Knowledge of third party contract terms including Medicare, Medicaid, managed care, commercial insurance, and direct patient pay
Ability to analyze reimbursement from all sources, including carrier reimbursement exception reporting, pending claims analysis, and denials management
Expertise in establishing and maintaining billing and financial data, including medical billing code tables, rate schedules, and payer information
Capability to prepare detailed analyses and reports of billing and accounts receivable activity, including performance metrics, bad debt expense, and AR days outstanding
Proficiency in interacting with various functional areas, including RCM Finance, sales and marketing, and senior management
Participation in Compliance Committee for Coding and Billing related items
Ability to interface with third party payers to resolve reimbursement issues and provide guidance on contracting challenges

Responsibilities

Directs billing management and staff to ensure accurate submission of all claims and timely collections in accordance with third party contract terms
Leads high performance teams responsible for Data Entry and Insurance Verification, CPT and ICD-10 Coding, Denial and Accounts Receivable Management
Provides leadership, drives change, and facilitates process improvements
Establishes and maintains billing and financial data, including medical billing code tables, rate schedules, and payer information
Analyzes reimbursement from all sources, including carrier reimbursement exception reporting, follow-up on pending claims, and denials management
Maintains and enhances billing policies and procedures for each function in the revenue cycle process and ensures staff adherence
Prepares detailed analyses and reports of billing and accounts receivable activity and results, including performance metrics, bad debt expense, and AR days outstanding
Manages continuous improvements within the revenue cycle process
Effectively interacts with various functional areas
Provides mentoring, coaching, and performance reviews for direct reports
Manages all outreach billing operations, including hiring, orientation, training, development, coaching, corrective actions, and ongoing monitoring of staff
Ensures consistent quality of billing services by distributing and assigning duties, ensuring appropriate skill levels, and monitoring productivity
Actively collaborates with RCM Finance team on billing activity analysis for monthly financial reporting, sales and marketing teams, and senior management on performance and initiatives
Participates in the Compliance Committee for Coding and Billing items; establishes and enforces departmental and company policies and procedures
Develops and monitors operating procedures, implements workflow changes to improve productivity, and drafts budgeting and forecasting for headcounts and inventory
Creates and holds billing leadership accountable for performance and production standards; maintains billing-related quality patient outcomes
Interfaces with third party payers to resolve reimbursement issues and provides guidance to senior leadership on contracting challenges
Provides direction and development to associates through daily coaching, performance management, and development plans
Prepares annual performance evaluations and recommends merit increases and bonus percentages; promotes organizational efficiency, change, and continuous quality improvement
Identifies and implements opportunities for automation and improved efficiency

Skills

Key technologies and capabilities for this role

Insurance VerificationICD-10 CodingCPT CodingClaims BillingAccounts Receivable ManagementDenials ManagementRevenue Cycle ManagementMedical BillingData EntryReimbursement AnalysisAR Reporting

Questions & Answers

Common questions about this position

What are the primary responsibilities of the Associate Director role?

The role involves leading teams in registration, insurance verification, coding, billing, and A/R management; ensuring accurate claims submission and timely collections; driving process improvements; and managing staff through supervision, training, and performance reviews.

What teams will this role lead?

The position leads high performance teams responsible for Data Entry and Insurance Verification, CPT and ICD-10 Coding, Denial and Accounts Receivable Management, as well as billing management and staff.

Is there a salary range mentioned for this position?

This information is not specified in the job description.

What is the work location or remote policy for this role?

This information is not specified in the job description.

What kind of experience makes a strong candidate for this role?

Strong candidates should have expertise in revenue cycle management, leadership of billing operations teams, knowledge of ICD-10 coding, claims billing, insurance verification, and experience driving process improvements and financial analysis.

Natera

Genetic testing and diagnostics solutions provider

About Natera

Natera focuses on genetic testing and diagnostics, providing advanced solutions for cancer patients, transplant patients, and individuals assessing hereditary health risks. Their main technology is cell-free DNA (cfDNA) testing, which analyzes DNA fragments in the blood to detect minimal traces of cancer and assess organ health. Natera stands out by offering specialized tests like the Signatera ctDNA test and Panorama NIPT, along with genetic counseling services. The company's goal is to improve patient care and health outcomes through accurate genetic testing.

Austin, TexasHeadquarters

2004Year Founded

$149.9MTotal Funding

IPOCompany Stage

Biotechnology, HealthcareIndustries

1,001-5,000Employees

Benefits

Flexible medical plans

Investment options

Time off

Workplace perks

Risks

Hindenburg report accuses Natera of deceptive sales practices, risking legal challenges.

New Prospera Heart features may face slow adoption by healthcare providers.

Fetal RhD NIPT demand may drop post-RhIg shortage, affecting future sales.

Differentiation

Natera's Signatera test offers personalized ctDNA analysis for cancer patients.

Prospera Heart test uses unique Donor Quantity Score for transplant rejection detection.

Panorama NIPT test is a leader in non-invasive prenatal testing with 2 million tests.

Upsides

Increased adoption of liquid biopsy techniques boosts demand for Natera's cfDNA tests.

AI integration enhances accuracy and speed of Natera's cfDNA analysis.

Growing personalized medicine trend aligns with Natera's customized genetic tests.

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