Business Analyst, Revenue Cycle Operations

Summary

Join Natera as a Business Analyst in Revenue Cycle Operations, focusing on analyzing large datasets to optimize revenue performance and drive strategic decision-making. Collaborate with cross-functional teams to develop data visualizations and reports providing insights into payer reimbursement, claim denials, and process efficiency. The ideal candidate possesses strong analytical skills, advanced SQL knowledge, and experience with business intelligence tools. A background in healthcare revenue cycle management is essential. You will analyze billing and claims data, develop reports and dashboards, and identify process improvements. This role requires strong communication and collaboration skills to present insights to leadership and stakeholders.

Requirements

• Bachelor’s degree in Business, Economics, Healthcare Administration, Information Systems, or a related field (or equivalent experience)
• 3+ years of experience in healthcare revenue cycle analytics, insurance billing, or claims reimbursement
• Deep understanding of the claim life cycle, payer reimbursement models, and insurance billing workflows
• Advanced SQL skills for data querying and analysis
• Strong proficiency in Excel (PivotTables, formulas, automation) and Google Sheets
• Experience with business intelligence tools (Power BI, Tableau, or similar)
• Ability to interpret complex financial and operational data and translate insights into actionable recommendations
• Strong attention to detail with an ability to identify trends, discrepancies, and process inefficiencies
• Excellent ability to communicate data findings to non-technical stakeholders
• Strong stakeholder management skills with experience presenting insights to leadership

Responsibilities

• Analyze billing, claims, and payment data to identify trends in payer reimbursement, claim denials, and rejections
• Develop reports, dashboards, and visualizations using SQL and BI tools (Power BI, Tableau, etc.)
• Conduct data extractions and reconciliations to ensure accuracy and completeness
• Partner with Finance, Insurance Billing, Market Access, and Product teams to provide insights and strategic recommendations
• Support payer contract compliance analysis by identifying reimbursement patterns and anomalies
• Work closely with IT and Data Engineering to optimize billing and claims data structures
• Identify opportunities for process improvements in claims submission, payer compliance, and denial resolution
• Design and implement workflow enhancements to improve billing efficiency
• Ensure adherence to HIPAA and regulatory requirements while handling Protected Health Information (PHI)
• Respond to ad hoc data requests from leadership and key stakeholders
• Support revenue cycle projects by delivering data-driven insights and recommendations

Preferred Qualifications

• Experience with payer contracts and knowledge of payer-specific reimbursement requirements
• Familiarity with API/HL7 integrations for billing and claims data workflows
• Experience designing and implementing process improvement initiatives within revenue cycle operations
• Ability to work independently in a fast-paced, dynamic environment with tight deadlines

Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• Free testing in addition to fertility care benefits
• Pregnancy and baby bonding leave
• 401k benefits
• Commuter benefits
• A generous employee referral program