Supervisor, Insurance Billing And Coding

Summary

Join Natera as a Supervisor, Insurance Billing and Coding, overseeing a team of remote Insurance Billing and Medical Coders. You will ensure accurate billing and coding processes, complying with healthcare regulations. Key responsibilities include performing quality checks, establishing tracking tools, providing team support, advising on credit resolution, collaborating on reporting, partnering with other departments, and staying updated on regulatory changes. A strong understanding of healthcare regulations and relevant certifications are required. This leadership role offers the opportunity to contribute to a mission-oriented organization impacting global healthcare.

Requirements

• Proven experience in managing a remote team, specifically within insurance billing and medical coding
• Strong understanding of healthcare regulations and compliance requirements, including HIPAA, HITECH, and CMS guidelines
• Bachelor's degree in Health Information Management, Healthcare Administration, or related field (or equivalent experience)
• Relevant certifications in medical coding or billing (e.g., CPC, CCS, RHIA) required
• Knowledge of healthcare fraud and abuse laws, including the False Claims Act and Anti-Kickback Statute

Responsibilities

• Perform quality checks on team member work to ensure exceptional accuracy levels and compliance with healthcare regulations
• Establish and maintain tracking tools for managing and capturing coding errors, adhering to HIPAA and other relevant privacy laws
• Provide real-time support to team members facing internal or external challenges, including compliance-related issues
• Advise and promote productive personal credit resolution efforts in accordance with Fair Credit Reporting Act (FCRA) guidelines
• Collaborate with colleagues to synthesize and report on team efforts and statistics, ensuring data privacy and security
• Partner with other departments to ensure seamless integration of billing and coding processes while maintaining regulatory compliance
• Stay updated on changes in healthcare regulations and implement necessary adjustments to team processes
• Additional responsibilities as needed to support team and organizational goals while maintaining legal and ethical standards

Preferred Qualifications

• Leadership and team management
• Quality assurance and attention to detail
• Problem-solving and decision-making
• Interpersonal communication and collaboration
• Data analysis and reporting
• Proficiency in medical coding and billing software
• Adaptability and resilience in a fast-paced environment
• Ethical decision-making and compliance management
• Risk assessment and mitigation in healthcare billing practices

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
• A generous employee referral program