New

Revenue Cycle Analyst, Prior Authorizations

US Remote

Position Overview:

The Revenue Cycle Analyst, Prior Authorizations plays a key role in supporting the PA call center and external-facing teams by serving as a subject matter expert on payer policies and prior authorization workflows. This role also focuses on analyzing trends, reporting on call center data, improving processes, managing escalated calls and emails, and supporting cross-functional stakeholders such as providers, patients, sales, billing, and market access teams. This individual will act as a subject matter expert and knowledge resource for all things PA related, and will help ensure the successful navigation of prior authorization (PA) requests and appeals.

Key Responsibilities:

  • Act as a subject matter expert in prior authorization processes and payer-specific requirements, supporting inquiries from internal and external teams (patients, providers, billing, sales, payers, etc.).
  • Analyze escalated issues from calls/emails related to prior authorizations and collaborate cross-functionally to drive resolutions.
  • Support call/email-based teams by investigating complex issues, answering escalated questions, and helping improve the end-user experience.
  • Conduct trend and root cause analyses related to prior authorization issues and escalate actionable insights to leadership.
  • Pull and analyze data from Twilio, Excel, Power BI, and Salesforce to identify opportunities for operational improvement and issue resolution.
  • Create and maintain job aids, reference materials, and SOPs related to PA workflows and payer navigation.
  • Assist in the design, implementation, and optimization of processes related to authorization submissions, appeals, and vendor-related tasks.
  • Collaborate with internal vendor operations teams to ensure authorization and reimbursement-related activities are executed timely and accurately.
  • Participate in or lead regular project updates, team check-ins, and stakeholder reviews related to key initiatives and process performance.

Qualifications:

  • Bachelor’s Degree in a healthcare or business-related field preferred.
  • 2–3+ years of experience in medical billing, prior authorizations, and payer interactions.
  • Experience working in a billing call center or patient access/healthcare environment is strongly preferred
  • Strong familiarity with payer portals and prior authorization requirements across commercial, Medicare, and Medicaid plans.
  • Experience in process documentation, job aid creation, and/or internal training preferred.

Required Skills:

  • Proficiency with medical billing systems, Microsoft Excel, Power BI, and Salesforce.
  • Familiarity with Twilio reporting and call/email analytics is a strong plus.
  • Working knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes.
  • Ability to identify and report trends and workflow gaps using data-driven analysis.
  • Strong communication skills—capable of distilling technical/operational information to a broad audience.
  • Demonstrated critical thinking and problem-solving skills across multi-stakeholder workflows.
  • Ability to manage competing priorities and support ongoing project-based initiatives in a cross-functional environment.
  • Comfortable working independently while collaborating regularly with teammates and leadership.
  • Maintains confidentiality of sensitive information.

 

 

#LI-AB1

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

Austin, TX

$59,900 - $74,900 USD

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:
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