Revenue Cycle Analyst, Prior Authorization

Position Overview

• Location Type: Onsite
• Job Type: Full-time
• Salary: $75,400 - $90,000 USD
• Location: Austin, TX

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our cutting-edge technology empowers healthcare providers with actionable insights to improve patient outcomes. At Natera, we foster a collaborative and innovative environment, where our employees play a critical role in shaping the future of personalized medicine.

The Revenue Cycle Analyst, Prior Authorization is responsible for analyzing operational data metrics and researching payer trends/policies to assist with strategy and process improvement related to Prior Authorization functions. The ideal candidate will have strong data analysis skills, experience with prior authorization and/or revenue cycle operations, and expertise in payer policies.

Responsibilities

• 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.
• Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
• Conducts complex data analysis and data interpretation.
• Tracks outcomes of prior authorization submission, resolution, and appeals, to ensure goals are met.
• Participates in weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities.
• Researches, evaluates, and interprets guidance from a variety of sources to determine departmental strategy by continually reviewing and monitoring billing and coding changes.
• Coordinates with Management to ensure thorough understanding of trends/issues affecting prior authorization and revenue cycle performance.
• Supports goals and metrics to link department and revenue cycle initiatives with the organization's strategy.
• Assists with development 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

• Bachelors Degree in business or healthcare related field of study, or equivalent years of professional experience.
• At least 2-3 years of experience in medical billing and Insurance collections.
• Extensive knowledge in revenue cycle with an emphasis in prior authorization.

Required Knowledge, Skills and Abilities

• Strong communication (verbal and written), organizational, problem solving and team player skills.
• Advanced skills with data analysis tools such as Excel or PowerBI.
• 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.
• Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets).
• Motivated, shows initiative, and ability to work in fast paced environment.
• Drive for Results (Service, Quality, and Continuous Improvement).
• Commitment to the successful achievement of team and organizational goals.

About Natera, Inc.

Natera is a global leader in cell-free DNA testing, transforming the way genetic information is used in oncology, women’s health, and organ health. Our cutting-edge technology empowers healthcare providers with actionable insights to improve patient outcomes. At Natera, we foster a collaborative and innovative environment, where our employees play a critical role in shaping the future of personalized medicine.

Note: 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.