Revenue Cycle Analyst, Prior Authorizations

Summary

Join Natera as a Revenue Cycle Analyst, Prior Authorizations and become a subject matter expert on payer policies and prior authorization workflows. Support internal and external teams by investigating complex issues and answering escalated questions. Analyze trends, report on call center data, and improve processes. Collaborate cross-functionally to drive resolutions and support stakeholders. Pull and analyze data to identify opportunities for operational improvement. Create and maintain job aids and SOPs related to PA workflows. Assist in process optimization and collaborate with vendor operations teams.

Requirements

• 2–3+ years of experience in medical billing, prior authorizations, and payer interactions
• Strong familiarity with payer portals and prior authorization requirements across commercial, Medicare, and Medicaid plans
• Proficiency with medical billing systems, Microsoft Excel , Power BI , and Salesforce
• Working knowledge of CPT/HCPCS, ICD-10, modifier selection , and UB revenue codes
• Ability to identify and report trends and workflow gaps using data-driven analysis
• Strong communication skills—capable of distilling technical/operational information to a broad audience
• Demonstrated critical thinking and problem-solving skills across multi-stakeholder workflows
• Ability to manage competing priorities and support ongoing project-based initiatives in a cross-functional environment
• Comfortable working independently while collaborating regularly with teammates and leadership
• Maintains confidentiality of sensitive information

Responsibilities

• Act as a subject matter expert in prior authorization processes and payer-specific requirements, supporting inquiries from internal and external teams (patients, providers, billing, sales, payers, etc.)
• Analyze escalated issues from calls/emails related to prior authorizations and collaborate cross-functionally to drive resolutions
• Support call/email-based teams by investigating complex issues, answering escalated questions, and helping improve the end-user experience
• Conduct trend and root cause analyses related to prior authorization issues and escalate actionable insights to leadership
• Pull and analyze data from Twilio, Excel, Power BI, and Salesforce to identify opportunities for operational improvement and issue resolution
• Create and maintain job aids, reference materials, and SOPs related to PA workflows and payer navigation
• Assist in the design, implementation, and optimization of processes related to authorization submissions, appeals, and vendor-related tasks
• Collaborate with internal vendor operations teams to ensure authorization and reimbursement-related activities are executed timely and accurately
• Participate in or lead regular project updates, team check-ins, and stakeholder reviews related to key initiatives and process performance

Preferred Qualifications

• Bachelor’s Degree in a healthcare or business-related field preferred
• Experience working in a billing call center or patient access/healthcare environment is strongly preferred
• Experience in process documentation, job aid creation, and/or internal training preferred
• Familiarity with Twilio reporting and call/email analytics is a strong plus

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!