Revenue Cycle Auditor

Position Summary: 3 Month Contract To Hire

Job Description:

The Revenue Cycle Auditor is responsible for profiling, researching, and resolving reimbursement issues for assigned payors, products, or lines of business. The Revenue Cycle Auditor reports directly to the Audit Manager in Revenue Cycle Management. This position performs analysis and quality assurance reviews, identifies imbursement trends and issues, and presents areas of opportunity. They will also derive logical conclusions and forecasts from implementing strategies that can improve business performance, and share them with leaders. Hourly rate $31-35.

Responsibilities include:

Auditing / Quality Assurance:
 Perform audits on accounts to ensure claims are processed per best practice.
 Assist with tracking QA results and quality SLA reporting.
 Assist with developing and maintaining a robust quality assurance process.
 Provide detailed audit results to operational leaders to help drive accountability and

identify areas for remedial education.

Accounts Receivable Management:
 Review complex accounts to investigate and determine root cause of AR issues
 Assist with the development and implementation of best practice workflows and
processes to ensure timely collections and effective denial management.
 Work with Billing Strategy Directors and Product Managers to formulate a plan to
improve revenue per case by owning projects related to billing, denial management,

patient billing, pre authorization etc.

Process Improvement:
 Continuously identify opportunities across AR processes and procedures to increase

efficiency and accuracy.

 Work cross-functionally within operations to help optimize billing processes and
mitigate denials.
 Suggest and implement improvements to reduce AR utilizing industry best practices.

Reporting and Analysis:
 Analyze AR data to identify trends, potential issues, root cause, and opportunities for

process improvement.

 Assist with creating detailed monthly SLA and KPI reporting to track department

progress.

Qualifications:
Bachelors Degree healthcare related field of study or equivalent experience.
Minimum of 5 years of experience in medical billing and Insurance collections, dispute

resolution.

Salesforce, EPIC (or other EHR/EMR system experience)

Minimum of 3 years of experience in revenue cycle or claim analysis.

Experience with lab billing preferred.

Project management experience preferred.

Knowledge of CPT/HCPCS. ICD-10, modifier selection, and UB revenue codes.

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