Associate Director – Insurance Verification, Coding & Billing Operations
Natera
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $133,900 - $167,400 per year
Job Level
Senior
About the role
- Directs billing management and staff to ensure accurate submission of all claims and timely collections in accordance with all third party contract terms
- Leads high performance teams responsible for Data Entry and Insurance Verification, CPT and ICD-10 Coding, Denial and Accounts Receivable Management
- Provides leadership, drives change, and facilitates process improvements
- Establishes and maintains billing and financial data, including medical billing code tables, rate schedules and payer information
- Analyzes reimbursement from all sources, including carrier reimbursement exception reporting and follow up pending claims analysis and denials management
- Maintains and enhance billing policies and procedures for revenue cycle process and ensure staff adherence
- Prepares detailed analyses and reports of billing and accounts receivable activity and results
- Manages for continuous improvements within the revenue cycle process
- Effectively interacts with various functional areas
- Provides mentoring, coaching and performance reviews for direct reports
- Manages all outreach billing operations, including hiring, orientation, training, development, coaching, and corrective actions
- Ensures consistent quality of billing services by distributing and assigning duties and responsibilities to employees
- Collaborates with the RCM Finance team on analysis of billing activity for monthly financial reporting
- Participates in the Compliance Committee for Coding and Billing related items
- Develops and monitors operating procedures and implements changes in workflow to improve productivity
- Creates and holds billing leadership accountable for established performance and production standards
- Interfaces with third party payers to resolve reimbursement issues
- Provides direction to and development of associates through daily coaching
- Prepares annual performance evaluations and recommends merit increase and bonus percentages
- Identifies and implements opportunities for automation and improved efficiency
Requirements
- Bachelor’s Degree in related field or equivalent required
- Minimum of 8 years of experience in managing a high-volume, fast-growing billing office within the laboratory setting is preferred (staff of 50-100)
- Extensive knowledge of reimbursement, billing, coding and compliance regulations is required
- Certified coder designation / certification by AAPC or AHIMA
- 5+ years of experience coding in the medical/healthcare billing area- Lab a plus
Benefits
- health insurance
- 401k benefits
- free testing for employees and their families
- fertility care benefits
- pregnancy and baby bonding leave
- commuter benefits
- generous employee referral program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPT codingICD-10 codingbilling managementaccounts receivable managementdata entryinsurance verificationreimbursement analysisdenials managementprocess improvementfinancial reporting
Soft skills
leadershipcoachingmentoringcommunicationteam managementperformance evaluationcollaborationchange managementproblem-solvingorganizational skills
Certifications
Bachelor’s DegreeCertified coder designationAAPC certificationAHIMA certification