Director, Revenue Cycle Billing Strategy

POSITION SUMMARY:

The Director of Billing Strategy plays a key role in leading strategic improvements within the revenue cycle processes in Natera. This role will oversee Natera's product(s) reimbursement and revenue cycle operations that impact the financial performance of the product(s). They are expected to work across departments to integrate RCM knowledge and expertise with process improvements, data analysis and strategic initiatives. 

PRIMARY RESPONSIBILITIES:

• Manages revenue cycle projects related to specific products by identifying opportunities for process improvement
• Redesign processes and documentation of SOPs, implementation of new workflows and monitoring of operational metrics.
• Serves as a source of subject matter expertise and performs analysis, identifies trends, presents solutions and insights, and prioritizes initiatives for process and performance improvement.
• Responsible for developing appropriate workflows and tracking all aspects related to the lifecycle of a claim by performing routine assessment of SOP compliance, audits of claims and/or in-depth analysis of trends in denials, claims management etc.
• Establishes an ongoing working relationship with other departments that impact revenue cycle performance.
• Works closely with various RCM vendors and teams (Eligibility, Prior Authorization, Claims Management, AR/Denial Management and Patient Billing) to oversee operational activity that directly impacts the revenue cycle.
• Accurately process actions in a timely manner for optimal reimbursement.
• Track outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
• Collect data metrics on revenue cycle tools and develop processes focused on these tools, including but not limited to: consents, protocols, SOPs
• Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
• Create systems, patient and payer materials related to revenue cycle management.
• This role works with PHI on a regular basis both in paper and electronic form and will have access to various technologies that provide access to 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.
• Performs other duties as assigned.

QUALIFICATIONS:

• 7- 10 years of revenue cycle experience, relevant work experience and/or Master’s degree in Healthcare Administration or Analytics. 
• Experience working in biotech or laboratory billing is strongly preferred.
• Extensive knowledge of government and commercial insurance reimbursement policies, prior authorizations, and eligibility requirements.
• Extensive knowledge of reimbursement, billing, coding and compliance regulations is required. 
• Experience with data analysis, data interpretation and analytics, specifically with PowerBI, Google Suite and Excel

KNOWLEDGE, SKILLS, AND ABILITIES:

• Exceptional communication skills (oral and written) and attention to detail
• Demonstrated ability to work independently AND collaborate with team members
• Motivated to be creative and brainstorm innovative solutions
• A desire to work for a dynamic and growing molecular genetics company and manage growth for optimal success
• Capacity to actively engage and communicate with a wide variety of employees, senior leaders and external auditors to drive change and problem solve.
• Ability to respond to change quickly and generate creative ideas and solutions to emerging business changes.
• Proactive and self-driven in nature, and able to work in a fast-paced environment with minimal structure. 
• Skilled in researching, interpreting, and presenting data in a concise manner.

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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