Clinical Assistant I - Revenue Claims Specialist

Summary

Join Natera as a Clinical Assistant I/Revenue Claims Specialist for a 6-month contract-to-hire position! Support the Genetic Counseling project team by focusing on reimbursement operations, data collection, interdepartmental liaison, and process improvements. This role involves troubleshooting claims, verifying samples, and streamlining processes with various teams. You will also track payment outcomes, monitor billing changes, and assist with data collection for internal projects. Additional responsibilities include reviewing referrals and denials, managing sample kits, updating databases, and assisting genetic counselors. The position requires handling protected health information (PHI) and completing relevant training.

Requirements

• High School Diploma (required)
• Experience with Microsoft Excel, Google mail and Google Documents
• Excellent organization and attention to detail
• 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
• Employee must pass post offer criminal background check

Responsibilities

• Communicates directly with Prior authorization, Claims and Appeals, and lab teams to: Trouble shoot issues, verify samples, streamline processes and serve as a liaison between these teams and the genetic counselors
• Assist with data collection for internal projects/ product development and operations related to reimbursement
• Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met
• Reviews and Monitors billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions
• Participates in team meetings
• Review incoming referrals and claim denials and request additional documentation/clarification when needed
• Request and track sample collection kits and answer patient questions regarding samples
• Update internal databases regarding test development progress and make notes in LIMS case ‘notes’ for each patient or provider contact
• Assist genetic counselors in answering questions from clinics and customer support
• Performs other duties as assigned

Preferred Qualifications

• BA/BS in biology, allied health, or science related field (strongly preferred)
• Will consider candidates in pursuit of four-year bachelor’s degree program provided they meet required education requirements and at least 2-3 years professional work experience in biotech, life sciences, medical billing, insurance collections, or related industry
• Experience in insurance collections or medical billing preferred

Benefits

• Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits
• Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more
• We also offer a generous employee referral program!