Billing Strategy Lead

Summary

Join Natera, a global leader in cell-free DNA testing, as their Billing Strategy Lead, Patient Billing. This role involves monitoring and analyzing operational data, collaborating with cross-functional teams, and optimizing billing workflows. You will manage projects focused on revenue cycle operations, automation, and process improvement. The ideal candidate possesses strong data analysis skills, healthcare billing experience, and expertise in PowerBI. Responsibilities include analyzing billing workflows, identifying inefficiencies, and developing actionable roadmaps for improvement. You will also create reports, conduct audits, and present findings to stakeholders.

Requirements

• Bachelor’s Degree in business, economics, related field, or equivalent years of experience required
• 3+ years of experience in revenue cycle management, healthcare billing, or related areas
• Strong understanding of patient billing workflows, claims processing, payor plans, and CPT codes
• Experience managing projects, tracking deliverables, and reporting on project status
• Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets, PowerBI). Ability to pull, analyze, and visualize data using these programs (pivot tables, macros, formulas)
• Strong communication skills with the ability to present findings to executive leadership
• 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
• 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
• Support the Billing Strategy team in management of projects and preparation of adhoc/weekly reports and presentations
• Analyze end-to-end billing workflows to identify inefficiencies and automation opportunities
• Understand upstream revenue cycle processes (insurance verification/eligibility, prior authorization, claims submission, adjudication, etc.) and their impact on patient billing
• Evaluate self-pay, co-pay, payor plans, CPT codes, and billing processes to enhance accuracy and efficiency
• Coordinate with multiple teams within the organization for process improvement/efficiencies
• Develop actionable roadmaps for improving workflows and processes
• Performs in-depth reviews/audits to identify issues/trends and create remediation plan(s)
• Provide strong, timely financial and business analytics for decisions by organizational stakeholders
• Evaluate key performance indicators, provide ongoing reports, and recommend business plan updates
• Performs a wide range of analytics functions using tools such as Excel, PowerBI and other business intelligence tools
• Analyzes patient billing reimbursement trends
• 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

Preferred Qualifications

• Experience with SQL is a plus but not required
• Billing systems experience a plus

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