POSITION SUMMARY:
- Maintains database by entering payment information into database ( adjustments and denials)
- Back-up for generating daily POB extractions
- Assist with external and internal audits
- Reconcile cash batch supporting department cash control policies and procedures
- Assist with new hire training and refresher training
- Maintain and update SOP’s and job aides
- Complete batch posting with 98% accuracy
- Identify incomplete information necessary to post remittance, contact Manager to resolve questions, inconsistencies or missing data
- Assure 100% accuracy with regards to content and spelling.
- Requires outreach to customers/clinics to validate incomplete information
- Prepares source data for computer entry by compiling and sorting information; establishing entry priorities
- Contacts patient/clinic directly to validate incomplete information
- Maintains operations by following policies and procedures; reporting needed changes
- Maintains customer confidence and protects operations by keeping information confidential
- Contributes to team effort by accomplishing related results as needed
- Works on various databases (EP) error processing reports; as needed
- Ability to maintain department metrics (daily, weekly & monthly)
PRIMARY RESPONSIBILITIES:
- Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes.
- Enter alphabetic, numeric or symbolic data such as denial codes into system, following the format displayed on screen.
- Reconcile cash batch supporting department cash control policies and procedures.
- Complete batch posting with 98% accuracy
- Identify incomplete information necessary to post remittance, contact Manager to resolve questions, inconsistencies or missing data.
- Learn computer applications as they relate to denial management systems; proficiency in a practice management system.
- Organization, Attention to Detail, Confidentiality, Thoroughness, Decision Making, Independence, Analyzing, Information, Results Driven.
- Open to feed-back
- Other duties as assigned by Management.
- This role works with PHI on a regular basis both in paper and electronic form and have an access to various technologies to access PHI (paper and electronic) in order 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.
QUALIFICATIONS:
- 1 year of Accounting experience
- Required- High School Diploma- GED
- Preferred Bachelor’s degree, or equivalent in Healthcare, Marketing, or Business related field
- 2 + years’ experience in healthcare insurance billing, knowledge of third party insurance in regards to plan types (HMO/PPO/POS and Indemnity)
KNOWLEDGE, SKILLS, AND ABILITIES:
- Strong data entry skills; ability to input a high volume of information
- Proficient 10 key skills; subject to testing
- Medical terminology preferred
- Knowledge of CPT, ICD-9 and ICD-10; medical terminology
- Excellent phone communication skills
- Organization
- Attention to Detail
- Confidentiality
- Thoroughness
- Decision Making
- Independence
- Analyzing Information
- Results Driven
OUR OPPORTUNITY
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.
The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.
WHAT WE OFFER
Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, 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!
For more information, visit www.natera.com.
Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.
All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.
If you are based in California, we encourage you to read this important information for California residents.
Link: https://www.natera.com/notice-of-data-collection-california-residents/
Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.
For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page
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