Clinical Billing Genetic Counselor

POSITION SUMMARY:

The Clinical Billing Genetic Counselor is responsible for day-to-day revenue cycle project work related to billing processes, specific to our Horizon™ carrier screening product. They will develop processes and assist with and/or complete projects related to clinical revenue cycle management. They are expected to work across departments to integrate clinical knowledge and expertise.

PRIMARY RESPONSIBILITIES:

• Works on clinical revenue cycle projects, including but not limited to, denials, appeals, data analysis, payer contracts and reimbursement terms/rates, trend analysis, and the associated workflows for each. 
• Serves as a source of knowledge and performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement across products.
• Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
• Works closely with various vendor operations teams (Prior authorization, Claims and Appeals) on operational activities that directly impact the revenue cycle to accurately process actions in a timely manner for optimal reimbursement.
• Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
• Collect data metrics on revenue cycle projects.
• Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
• Supervise clinical assistants as needed.
• This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic) to perform the job.
• Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
• Must maintain a current status on Natera training requirements.
• Performs other duties as assigned.

QUALIFICATIONS:

• Relevant work experience or Master’s degree in Genetic Counseling or equivalent degree
• Five or more years of clinical and/or laboratory experience
• Revenue cycle and/or insurance billing experience is a plus

KNOWLEDGE, SKILLS, AND ABILITIES:

• In-depth technical understanding of Natera’s products
• Exceptional communication skills (oral and written) and attention to detail
• Demonstrated ability to work independently AND collaborate with team members
• Motivated to be creative and brainstorm innovative solutions
• Familiarity with Google and Microsoft suite of work products
• A desire to work for a dynamic and growing molecular genetics laboratory and manage growth for optimal …