Clinical Assistant I/Revenue Claims Specialist
closed
Natera
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 in reimbursement operations, data collection, interdepartmental liaison, and product improvements. Responsibilities include troubleshooting claims, verifying samples, tracking payment outcomes, and reviewing billing changes. You will also assist with referral reviews, sample tracking, database updates, and answering patient/clinic questions. This role requires a high school diploma and experience with Microsoft Excel and Google Workspace. A BA/BS in a related field and experience in medical billing/insurance collections are preferred. Natera offers competitive benefits, including medical, dental, vision, life, and disability insurance, as well as paid time off and 401k benefits.
Requirements
- High School Diploma
- 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
- Maintain a current status on Natera training requirements
- Pass post offer criminal background check
- Experience with Microsoft Excel, Google mail and Google Documents
- Excellent organization and attention to detail
Responsibilities
- Communicate 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
- Track outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met
- Review and Monitor billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions
- Participate 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
- Perform other duties as assigned
Preferred Qualifications
- BA/BS in biology, allied health, or science related field
- 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
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