Senior Disputes Analyst
HighnoteFull Time
Senior (5 to 8 years)
Candidates should possess strong data analysis skills, healthcare billing knowledge, revenue cycle management expertise, and experience with payment posting operations. Proficiency in Power BI and other business intelligence tools is essential. Familiarity with insurance verification, prior authorization, claims submission, adjudication, self-pay, co-pay, payor plans, and CPT codes is also required.
The Billing Strategy Lead will monitor and analyze operational data metrics, collaborating with the payment posting team, cross-functional teams, and external vendors to ensure optimal performance. They will support management projects focused on revenue cycle operations, billing workflows, automation opportunities, and process optimization. Responsibilities include participating in meetings to assess issues and implement improvements, supporting project management for timely completion, monitoring adherence to SOPs, SLAs, and quality standards, analyzing end-to-end billing workflows for inefficiencies, evaluating various billing components for accuracy and efficiency, coordinating with multiple teams for process improvement, developing roadmaps for workflow enhancements, performing audits to identify issues and create remediation plans, providing financial and business analytics, evaluating KPIs and recommending business plan updates, and conducting complex data analysis and interpretation.
Genetic testing and diagnostics solutions provider
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.