Clinical Billing Genetic Counselor
Remote
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 success
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.Remote USA$95,000—$114,000 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
Job Profile
Remote position
Benefits/Perks401k benefits Commuter benefits Competitive Competitive benefits Comprehensive medical Dental Disability plans Dynamic work environment Employee benefits Employee Referral Program Fertility care Fertility care benefits Free testing Growth Opportunities Innovative solutions Life Life and disability plans Medical Pregnancy and baby bonding leave Remote work Vision
Tasks- Analysis
- Analyze data
- Collaborate with departments
- Collaborate with team
- Collaborate with team members
- Data Analysis
- Manage revenue cycle projects
- Supervise clinical assistants
- Track payment resolutions
Appeals Attention to detail Billing Billing Processes Clinical Clinical knowledge Clinical revenue cycle management Collaboration Collection Communication Compliance Data analysis Genetic Counseling Genetics Genetic Testing Google Google Suite HIPAA HIPAA/PHI Privacy Insurance Billing Laboratory experience Management Microsoft Suite Oncology Operations Orientation Payer Contracts Performance Improvement PHI Privacy Prior authorization Problem-solving Reimbursement Reimbursement terms Revenue Cycle Management Security Training Software Testing Training Trend Analysis
Experience5 years
EducationBusiness Equivalent Equivalent degree Genetics Master's degree Oncology Software
CertificationsCompliance Training HIPAA Natera training Security Training
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9