Revenue Cycle Solutions Manager

Summary

Join Natera as an RCM Solutions Manager and lead the execution of billing configuration and automation strategies. You will provide operational direction and technical expertise for RCM billing system solutions projects, collaborating across departments to integrate RCM knowledge. Responsibilities include process improvement, performance analysis, identifying areas of monetary loss, tracking progress, and implementing technology solutions. This role requires a Bachelor's degree in a relevant field, 12+ years of experience in revenue cycle management or related fields, and advanced proficiency in quantitative software. Preferred qualifications include an MS or PhD, relevant certifications, and experience with specific software and programming languages. Natera offers competitive benefits, including comprehensive medical, dental, vision, life, and disability plans, as well as free testing for employees and their families.

Requirements

• Bachelor’s degree in Biology (Engineering) or equivalent
• Minimum of 12 years of in revenue cycle, information systems, health insurance or healthcare billing Genetic testing or laboratory diagnostic experience
• Knowledge of configuring and setting up hardware and software
• Demonstrated ability to learn new systems and software applications
• The role will require interaction with a wide range of fellow employees, senior leaders, as well as external auditors and experts, so a high standard of discipline and professionalism is required
• Ability to define problems, collect and reconcile data, validate data against source information
• Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets)
• Excellent SQL skills with experience in writing complex queries
• Motivated, shows initiative, and ability to work in a fast paced environment
• Possess strong interpersonal skills and the ability to sell the business reason for the change
• Drive for Results (Service, Quality, and Continuous Improvement)
• Commitment to the successful achievement of team and organizational goals
• Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations
• Excellent communication and soft skills

Responsibilities

• Lead and Manage RCM System Solutions related to process improvement, redesign processes
• Serves as a source of knowledge and performs analysis for performance improvement
• Lead the Collaboration and coordination with other departments impacting revenue cycle billing system solutions
• Help identify areas of monetary loss in the revenue cycle process
• Work with various teams to help keep drive them towards the goal of reducing loss in the revenue cycle process
• Keep track of progress made by teams in fixing areas of loss towards the goal of achieving higher revenue
• Ownership for tracking overall progress with status reports to leadership
• Tracks outcomes of billing system payment resolution, appeals, and negotiated claims
• Implement appropriate technology solutions to support continued improved cash collection performance
• Manage projects and initiatives for improved reimbursement and reporting on actual performance against these targets; continue to monitor performance for process control
• Meets established deadlines timely, accurately, and with a sense of urgency
• This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic) to perform the job
• 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
• Performs other duties as assigned

Preferred Qualifications

• MS or PhD in Biological Sciences
• Certifications in System administration and Systems Engineering or other certifications
• Experiences in Snowflake
• Experience with BI tools such as Power BI or Tableau
• Experience in Python statistical programming

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