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Company

Natera · 6 hours ago

Supervisor, Revenue Cycle Audits - Authorizations

United States

Full-time

Remote

Mid Level

3+ years exp

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H1B Sponsor Likely

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Responsibilities

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

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

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

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

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

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 experienceRevenue cycle managementClaims analysisSalesforceEPICPowerBISQLCPT/HCPCS knowledgeICD-10 knowledgeLab billingProject managementMentoring skills

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 preferred

Project management experience preferred

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

Natera has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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)