Associate Revenue Cycle Analyst, Prior Authorizations

Position Overview:
This role is pivotal in analyzing and resolving escalated prior authorization cases, and driving continuous revenue cycle improvements through data-driven insights. You will manage escalated cases, negotiate payment requests and appeals with payers, and leverage advanced data analysis skills to optimize our revenue cycle performance. Your expertise with payer portals, Excel (pivot tables, VLOOKUPS, etc.), and PowerBi will be critical in developing robust strategies and actionable reporting that lead to appropriate payments.

Key Responsibilities:

• Escalation & Case Resolution:
  
  
• Analyze and resolve escalated prior authorization cases by identifying root causes and implementing effective solutions.
  
  
  
• Data Analysis & Reporting:
  
  
• Perform detailed trend analysis on escalated cases and prior authorizations, presenting opportunities for performance improvement.
  
  
• Utilize advanced Excel functions (pivot tables, VLOOKUPS, etc.) to compile, organize, and analyze large data sets.
  
  
• Create and maintain interactive dashboards in PowerBi, tracking key metrics and identifying emerging trends.
  
  
• Workflow & Process Improvement:
  
  
• Assist in developing and refining workflows that enhance the efficiency of the designated revenue cycle function.
• Assist with building, designing, maintaining team job aids/SOP's/resources
  
  
• Lead weekly meetings to review key performance metrics, workflow efficiencies, trends, and performance improvement opportunities.
  
  
• Collaborate with cross-functional teams—including vendor operations and management—to ensure seamless operations and optimal reimbursement processes.
  
  
• Cross-Departmental Collaboration & Knowledge Sharing:
  
  
• Serve as a subject matter expert for the designated revenue cycle function, offering insights and best practices on performance improvement and escalated case resolution.
  
  
• Continually monitor prior authorization trends and requirements; research and interpret industry guidance to inform departmental strategies.
  
  
• Act as an educator, sharing knowledge on performance improvement methodologies and emerging technologies with related teams and departments.
  
  

Qualifications:

• Education & Experience:
  
  
• Bachelor’s Degree in Business or Healthcare Administration, or equivalent years of relevant professional experience.
  
  
• 2-3+ years of experience in medical billing, insurance collections, or revenue cycle management, with proven experience handling escalated prior authorization cases.
  
  
• Technical & Analytical Skills:
  
  
• Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUPS, etc.) and PowerBi.
  
  
• Experience navigating various payer portals and understanding of their functionalities.
  
  
• Familiarity with medical billing systems, basic procedure coding (CPT/HCPCS, ICD-10, modifiers, and UB revenue codes), and medical terminology.
  
  
• Strong analytical skills with the ability to identify trends and articulate findings clearly and concisely.
  
  
• Interpersonal & Organizational Skills:
  
  
• Excellent verbal and written communication skills.
  
  
• Strong organizational, problem-solving, and critical thinking abilities.
  
  
• Ability to manage multiple priorities simultaneously while maintaining attention to detail.
  
  
• Demonstrated team player with a proactive, solution-oriented approach.
  
  

Why Join Us?
At Natera Inc., you will be part of an innovative team dedicated to transforming healthcare through advanced diagnostics and technology. This role offers a unique blend of case management, data analysis, and strategic process improvement—providing a dynamic and challenging work environment where your insights directly impact patient outcomes and organizational success.

If you are a driven professional with a passion for solving complex challenges through data and operational excellence, we invite you to apply and contribute to our mission of delivering cutting-edge healthcare solutions.

 

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.Austin, TX$59,900—$85,000 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

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!

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents. 

Link: https://www.natera.com/notice-of-data-collection-california-residents/

Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:
- BBB announcement on job scams 
- FBI Cyber Crime resource page 

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