Associate Revenue Cycle Analyst - Prior Authorizations

8 hours, 19 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 work queues to identify volume trends, aging inventory, and stalled requests, and take action to keep work moving toward SLA targets.
  • Ensure prior authorization submissions are complete and accurate before they are sent.
  • Partner with internal teams such as Market Access, Genetic Counselors, Medical Records, Insurance Verification, and Claims/Denials/Appeals to coordinate handoffs and resolve issues.
  • 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 support first-time-right submissions.
  • Analyze delays, submission failures, and operational trends, then present actionable findings to leadership.
  • Help build, refine, and standardize tracking tools and workflows across the prior authorization lifecycle.
  • Review vendor performance and output to ensure external partners meet reimbursement accuracy standards.
  • Track and report KPIs such as submission turnaround time, bottleneck age, and vendor error rates.
  • Serve as a liaison and technical resource for internal teams on prior authorization best practices and process improvements.

Requirements

  • Bachelor’s degree in Business, Healthcare Administration, or a related field, or equivalent years of relevant professional experience.
  • 2–4 years of experience in healthcare revenue cycle, with a focus on prior authorization analysis, medical billing, or inventory management.
  • Advanced ability to manage high-volume inventory and identify process failures or stagnation points.
  • Strong critical thinking and troubleshooting skills for resolving logic errors and payer-response discrepancies.
  • High proficiency in Microsoft Excel or Google Sheets, including VLOOKUPs, PivotTables, and data visualization.
  • Ability to work effectively across diverse teams and influence stakeholders.
  • Ability to translate complex data into clear, 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

  • Competitive benefits package including 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.
  • Employee referral program.
  • Salary range of $58,700 to $73,400 USD for Austin, TX.

Interested in this position?

Apply directly on the company website

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