Billing Strategy Lead

Summary

Join Natera, a global leader in cell-free DNA testing, as their Billing Strategy Lead, Prior Authorizations. This role focuses on optimizing operational performance by analyzing data, improving workflows, and collaborating with prior authorization teams. The ideal candidate possesses strong data analysis skills, experience with prior authorization operations, and expertise in PowerBI. Responsibilities include developing actionable roadmaps, conducting audits, coordinating with multiple teams, and preparing reports. A Bachelor's degree and minimum 4 years of relevant experience are required. Natera offers competitive benefits, including comprehensive medical, dental, vision, life, and disability plans, as well as free testing for employees and their families.

Requirements

• Bachelor’s Degree in business, economics, related field, or equivalent required
• Minimum of 4 years of experience working with prior authorizations at an insurance company or healthcare billing organization
• Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets)
• Ability to define problems, collect and reconcile data, validate data against source information
• Motivated, shows initiative, and ability to work in a fast paced environment
• Drive for Results (Service, Quality, and Continuous Improvement)
• Commitment to the successful achievement of team and organizational goals

Responsibilities

• Participate in regularly scheduled meetings with managers/supervisors to assess issues and to identify and implement improvements for more-efficient operations
• Provide strong, timely financial and business analytics for decisions by organizational stakeholders
• Develop actionable roadmaps for improving workflows and processes
• Performs in-depth reviews/audits to identify issues/trends and create remediation plan(s)
• Coordinate with multiple teams within the organization for process improvement/efficiencies
• Support management of projects to ensure successful and timely completion
• Support management in monitoring and tracking adherence of SOPs, SLAs, productivity and quality standards set by leadership
• Evaluate key performance indicators, provide ongoing reports, and recommend business plan updates
• Support the Billing Strategy team in management of projects and preparation of adhoc/weekly reports and presentations
• Performs a wide range of analytics functions in a fast-paced team environment using tools such as Excel, Power BI and other business intelligence tools
• Analyzes payer and product prior authorization, denial, and reimbursement trends
• Designs and executes improvement projects
• Conducts complex data analysis and data interpretation
• Meets established deadlines timely, accurately, and with a sense of urgency
• Performs other duties as assigned
• This role works with PHI on a regular basis both in paper and electronic form and will have access to various technologies to access PHI (paper and electronic) in order to perform the job
• Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire
• Must maintain a current status on Natera training requirements

Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• Natera employees and their immediate families receive free testing in addition to fertility care benefits
• Pregnancy and baby bonding leave
• 401k benefits
• Commuter benefits
• Generous employee referral program