Natera

Associate Revenue Cycle Analyst – Prior Authorizations

Natera

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $58,700 - $73,400 per year

About the role

  • Inventory Diagnostic & Management: Actively monitors the PA work to identify inventory volume, aging trends, and 'stuck' requests. Determines necessary interventions to move files forward and maintain SLA compliance.
  • PA Submission Integrity: Serves as the operational analyst for the submission workflow, ensuring that all upstream data is complete and accurate before submission.
  • Cross-Functional Collaboration: Partners with Market Access to align on payor policies and works with Claims/Denials teams to bridge the gap between authorization feedback and actual payment outcomes.
  • Anomaly Investigation: Performs deep-dive investigations into payer and vendor discrepancies and recommends system logic or workflow adjustments.
  • Requirements & Documentation Management: Identifies and documents specific PA job requirements to ensure submissions are "right the first time."
  • Root-Cause Trend Analysis: Conducts analysis on PA delays or submission failures, presenting actionable findings to leadership to drive continuous performance improvement.
  • Workflow & Tracking Development: Assists in building and refining tracking tools and standardized workflows for the PA lifecycle.
  • Vendor Monitoring: Reviews vendor performance and output, ensuring external partners accurately process actions and adhere to the organization’s high standards for reimbursement accuracy.
  • KPI Reporting: Tracks and reports on key metrics, including Submission Turnaround Time (TAT), inventory 'bottleneck' age, vendor error rates, etc.
  • Strategic Communication: Acts as a liaison for management to explain complex operational trends, system glitches, or payer-behavior shifts affecting the revenue cycle.
  • Knowledge Sharing: Serves as a technical resource for internal teams regarding PA submission nuances and best practices for process improvement.

Requirements

  • Education: Bachelor’s Degree in Business, Healthcare Administration, or a related field (or equivalent professional experience).
  • Experience: 2–4 years of experience in healthcare revenue cycle, with a specific focus on prior authorization analysis, medical billing, or inventory management.
  • Inventory Mastery: Advanced ability to manage high-volume inventory and identify specific points of failure or stagnation within a process.
  • Technical Problem Solving: Strong critical thinking skills to troubleshoot logic errors and discrepancies between payor responses and internal routing rules.
  • Data Proficiency: High proficiency in Microsoft Excel/Google Sheets (VLOOKUPs, Pivot Tables, Data Visualization).
  • Collaborative Mindset: Ability to influence and work effectively across diverse teams.
  • Analytical Communication: Ability to translate complex data into clear, concise reports for stakeholders at all levels.
  • Nuanced Accuracy: Deep understanding of medical terminology and procedure coding as it relates to payor-specific submission requirements.
  • Discretion: Strict adherence to HIPAA and confidentiality protocols regarding sensitive patient and financial data.
Benefits
  • 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!
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
inventory managementprior authorization analysismedical billingdata analysisproblem solvingdata visualizationVLOOKUPPivot Tablesworkflow developmentKPI reporting
Soft Skills
collaborative mindsetanalytical communicationcritical thinkinginfluenceattention to detaildiscretioncontinuous improvementcross-functional collaborationtechnical resourcestrategic communication