98 applicants

Company

Natera · 3 days ago

Supervisor, Revenue Cycle Audits - Authorizations

United States

Full-time

Remote

Mid Level

$80K/yr - $111K/yr

3+ years exp

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Responsibilities

Mentoring/Coaching● Exemplify a culture of empathy, high performance, and accountability and serve as a coach and mentor to the team● Perform ATA (Audit the Auditor) process to ensure quality and provide feedback to audit team● Supervises, trains, provides work direction, and problem-solving assistance for audit team as well as overseeing the daily operations of other staff● Ability to present and communicate detailed information to stakeholders

Auditing/Quality Assurance● Perform detailed and comprehensive audits on accounts to ensure steps within the billing lifecycle are conducted accurately and according to industry best practices● 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, identify areas for remedial education, and process improvement

Accounts Receivable Management● Analyze and 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 lifecycle such as demographics, eligibility verification, pre-authorization, coding, claims management, payment posting, denials management, AR management, patient statements/billing, etc

Process Improvement● Consistently seek opportunities within billing lifecycle to enhance efficiency and accuracy in both ● Work cross-functionally within operations to help streamline billing lifecycle with AR reduction strategies (i.e., mitigate denials) leveraging industry best practices

Reporting and Analysis● Conduct thorough analysis for clarity of data to identify trends, potential issues, root cause, and opportunities for improvement● Assist with creating detailed monthly SLA and KPI reporting to track department progress

Areas of Focus The Revenue Cycle Audits Supervisor will be assigned a specific area within the revenue cycle audits—such as demographic/data capture, eligibility verification, pre-authorization, coding, claims management, payment posting, accounts receivable (AR), patient billing, etc. This focused assignment will enable the Supervisor to gain specialized knowledge and insights into the intricacies of their designated area, leading to more effective auditing and process improvement. In this focus area of the role, the RCA Supervisor will:● Develop expertise in the assigned focus area, understanding its unique challenges and best practices.● Conduct targeted audits and quality assurance activities specific to their area, ensuring compliance, accuracy, and process adherence.● Collaborate with cross-functional teams to address issues, implement improvements, and drive operational efficiency in their area.● Identify trends and root causes within the assigned area that impact reimbursement, denial rates, and revenue optimization.● Create detailed reports that analyze the performance of their focus area, providing actionable insights and recommendations to senior leadership.● Lead continuous improvement efforts within their area by staying up-to-date on industry standards and integrating best practices into workflows.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Healthcare DegreeSupervisory ExperienceAuditing ExperienceMedical BillingInsurance CollectionsDispute ResolutionRevenue Cycle ManagementSalesforceAMDEPICPowerBIGoogle PlatformsSQLLab BillingCPT/HCPCS KnowledgeICD-10 KnowledgeModifier SelectionProject Management

Required

Bachelor's Degree in a healthcare related field of study or equivalent experience

Minimum of 3 years of experience in supervising/management

Minimum of 3 years of experience in auditing, medical billing, insurance collections, and dispute resolution

Preferred

Minimum of 5 years of experience in revenue cycle or claim analysis

Experience with lab billing

Project management experience

Salesforce, AMD, EPIC (or other EHR/EMR system experience), PowerBI, Google Platforms, SQL

Knowledge of CPT/HCPCS, ICD-10, modifier selection, etc.

Benefits

Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents

Free testing in addition to fertility care benefits

Pregnancy and baby bonding leave

401k benefits

Commuter benefits

Generous employee referral program

Company

Natera

Glassdoor

3.5

Natera specializes in cell-free DNA testing to provide a more targeted interventions to oncology, women's health, and organ health.

Founded in 2004

San Carlos, California, USA

1,001-5,000 employees

https://www.natera.com/

H1B Sponsorship

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Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (24)

2022 (54)

2021 (75)

2020 (47)