Revenue Cycle Analyst - Denials & Appeals

49 minutes ago
Full-time
Mid Level
Business Intelligence
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

  • Track and report post-appeal payer response activity across commercial and non-commercial plans.
  • Monitor backlog aging, SLA adherence, appeal response rates, and resolution trends.
  • Present trend analysis, workflow gaps, and improvement opportunities in weekly metric reviews.
  • Analyze backlog growth, payer-specific delays, and root causes to support prioritization.
  • Translate operational findings into workflow recommendations and technology requirements.
  • Support billing system and payer portal configuration and validation.
  • Document and quantify error trends for Denials & Appeals feedback loops.
  • Track offshore and onshore productivity metrics and prepare performance reports.
  • Research payer requirements, coding updates, and reimbursement policy changes.
  • Develop project plans for workflow builds, backlog reduction, and SLA improvement initiatives.

Requirements

  • 4–6 years of experience in medical billing, denials management, insurance collections, or revenue cycle operations.
  • Bachelor’s degree in Business, Healthcare Administration, or a related field preferred.
  • Advanced Microsoft Excel and data analysis skills.
  • Basic SQL, Power BI, and experience working with raw datasets preferred.
  • Experience analyzing post-appeal payer response workflows.
  • Knowledge of commercial and non-commercial payer plans and appeal processes.
  • Advanced knowledge of CPT/HCPCS, ICD-10, modifiers, and UB revenue codes.
  • Experience with multiple payer portals; AMD experience preferred.
  • Strong project management, communication, organizational, and analytical skills.
  • Ability to maintain PHI confidentiality and accuracy under SLA-driven deadlines.

Benefits

  • Remote USA position with a salary range of $65,400–$95,200 USD.
  • Medical, dental, vision, life, and disability insurance for eligible employees and dependents.
  • Free testing for employees and immediate family members, plus fertility care benefits.
  • Pregnancy and baby bonding leave.
  • 401(k) and commuter benefits.
  • Employee referral program.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Business Intelligence Data Analyst

OpenX 51-250 Media

OpenX is hiring a remote Data Analyst to support its Finance Business Intelligence team by developing analyses, improving reporting, and delivering actionable financial insights across the digital advertising business.

Python SQL
1 hour, 49 minutes ago

Senior Manager, Market Intelligence & Development

Karius 51-250 Pharmaceuticals

Karius is seeking a Senior Manager, Market Intelligence and Development to guide market research, competitive intelligence, and go-to-market planning for infectious-disease diagnostic products and platforms.

Machine Learning
1 hour, 49 minutes ago

Test - BI Tech Lead

Lingaro 5K-10K IT Services

Senior BI Developer at Lingaro, a global data and analytics company, responsible for designing and delivering BI dashboards, reporting solutions, and data platforms aligned with business needs.

Looker Power BI
1 hour, 49 minutes ago

Business Intelligence/ Data Analystics

Binance 5K-10K Capital Markets

Binance is hiring an analytics and data science professional to analyze large-scale blockchain and business data, develop models and visualizations, and turn findings into operational and executive recommendations.

Blockchain C++ Java Machine Learning Neo4j Power BI Python R SQL Tableau
2 hours, 4 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers