Revenue Cycle Analyst, Prior Authorization

Summary

Join Natera, a global leader in cell-free DNA testing, as a Revenue Cycle Analyst, Prior Authorization. Analyze operational data, research payer trends, and improve prior authorization processes. The ideal candidate possesses strong data analysis skills, prior authorization experience, and payer policy expertise. You will perform complex data analysis, track authorization outcomes, and participate in weekly performance review meetings. Responsibilities include identifying improvement opportunities, coordinating with management, and acting as an educator on performance improvement methodologies. This role supports the organization's strategic goals by linking department and revenue cycle initiatives.

Requirements

• Bachelors Degree in business or healthcare related field of study, or equivalent years of professional experience
• At least 2-3 years of experience in medical billing and Insurance collections
• Extensive knowledge in revenue cycle with an emphasis in prior authorization
• Strong communication (verbal and written), organizational, problem solving and team player skills
• Advanced skills with data analysis tools such as Excel or PowerBI
• Ability to navigate across multiple customer demands and balance competing priorities successfully
• Ability to analyze, identify and articulate identified trends and report trends succinctly in a clear and concise manner
• Ability to solve problems using critical thinking skills
• Maintains confidentiality of sensitive information
• Analytical skills required
• Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets)
• Motivated, shows initiative, and ability to work in fast paced environment
• Drive for Results (Service, Quality, and Continuous Improvement)
• Commitment to the successful achievement of team and organizational goals

Responsibilities

• Serves as a source of knowledge for the designated revenue cycle function
• Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function
• Establishes an ongoing working relationship with other departments impacting revenue cycle performance
• Conducts complex data analysis and data interpretation
• Tracks outcomes of prior authorization submission, resolution, and appeals, to ensure goals are met
• Participates in weekly meetings to review key metrics, workflows, trends, and performance improvement opportunities
• By continually reviewing and monitoring billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental strategy
• Coordinates with Management to ensure thorough understanding of trends/issues affecting prior authorization and revenue cycle performance
• Supports goals and metrics to link department and revenue cycle initiatives with the organization's strategy
• Assists with development and monitors successful completion of implementation and project plans
• Acts as an educator on performance improvement requirements in operations and methodologies to related teams and departments
• Continues to seek new and creative technologies that help identify and guide improvement opportunities that align with overall company success

Benefits

• Employee benefits include 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
• Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more
• We also offer a generous employee referral program!