Natera is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health. The Associate Revenue Cycle Analyst is responsible for investigating and resolving complex front-end billing issues to ensure claims are submitted accurately and accepted by payers, while also driving process improvements in the revenue cycle.
Responsibilities:
- Serve as a subject matter expert for front-end revenue cycle functions, including EDI rejections, insurance verification, and claim submission processes
- Investigate and resolve complex billing issues that prevent claims from being successfully accepted by payers
- Analyze EDI rejection trends and payer-specific requirements to identify root causes and recommend corrective actions
- Partner with internal teams (billing operations, coding, patient access) and external vendors (clearinghouses, payers) to resolve systemic issues
- Develop and maintain reporting and dashboards (Excel, Power BI, SQL/Snowflake) to track rejection trends, performance metrics, and improvement opportunities
- Conduct root cause analysis on recurring front-end issues and implement process improvements to reduce claim errors and rework
- Support the development and optimization of workflows and quality controls related to claim submission and eligibility processes
- Monitor and evaluate the effectiveness of implemented solutions and track performance against key revenue cycle metrics
- Stay current on payer requirements, billing rules, and EDI standards, ensuring processes align with industry and regulatory expectations
- Lead or contribute to cross-functional projects aimed at improving front-end revenue cycle performance