Associate Revenue Cycle Analyst - Prior Authorizations

13 hours, 42 minutes ago
Full-time
Junior
Data Science and Analytics
Natera

Natera

Natera specializes in cell-free DNA testing, providing advanced genetic testing services for oncology, women's health, and organ health to help families diagnose and manage genetic diseases.

Pharmaceuticals
1K-5K
Founded 2004

Description

  • Monitor prior authorization inventory to identify volume trends, aging files, and stalled requests and take action to keep work moving within SLA targets.
  • Ensure prior authorization submissions are complete and accurate before they are sent.
  • Partner with Market Access, Claims/Denials, Insurance Verification, Genetic Counselors, Medical Records, and other teams to coordinate authorization workflow.
  • Investigate payer and vendor discrepancies, identify root causes, and recommend workflow or system logic changes.
  • Document prior authorization requirements such as clinical notes, forms, and portal-specific data fields to improve first-pass submission accuracy.
  • Analyze submission delays, failures, and bottlenecks and present actionable findings to leadership.
  • Help build and refine tracking tools and standardized workflows for the prior authorization lifecycle.
  • Review vendor performance and output to ensure external partners meet reimbursement and accuracy standards.
  • Track and report key performance metrics such as submission turnaround time, bottleneck age, and vendor error rates.
  • Serve as a liaison and technical resource for internal teams on prior authorization processes, operational trends, and best practices.

Requirements

  • Bachelor’s degree in business, Healthcare Administration, or a related field, or equivalent professional experience.
  • 2–4 years of experience in healthcare revenue cycle, prior authorization analysis, medical billing, or inventory management.
  • Advanced ability to manage high-volume inventory and identify process failures or stagnation.
  • Strong critical thinking and troubleshooting skills to resolve logic errors and payer response discrepancies.
  • High proficiency in Microsoft Excel or Google Sheets, including VLOOKUPs, Pivot Tables, and data visualization.
  • Ability to influence and collaborate effectively across diverse teams.
  • Ability to translate complex data into clear and concise reports for stakeholders at all levels.
  • Deep understanding of medical terminology and procedure coding as it relates to payer-specific submission requirements.
  • Strict adherence to HIPAA and confidentiality protocols for sensitive patient and financial data.

Benefits

  • Salary range of $58,700 to $75,000 USD for Austin, TX.
  • Comprehensive medical, dental, vision, life, and disability coverage for eligible employees and dependents.
  • Free testing for employees and their immediate families.
  • Fertility care benefits.
  • Pregnancy and baby bonding leave.
  • 401(k) benefits.
  • Commuter benefits.
  • Generous employee referral program.

Interested in this position?

Apply directly on the company website

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