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Position Summary:
- Responsible for investigating and resolving complex front-end billing issues that impact claim acceptance and reimbursement.
- Focuses on EDI rejections, insurance verification, and claim submission errors.
- Identify trends, perform root cause analysis, and drive process improvements to prevent downstream denials.
Key Responsibilities:
- Analyze EDI rejection trends and payer-specific requirements to identify root causes and recommend corrective actions.
- Develop and maintain reporting and dashboards (Excel, Power BI, SQL/Snowflake) to track rejection trends.
- Support the development and optimization of workflows and quality controls related to claim submission and eligibility processes.
Qualifications:
- Bachelor’s degree in Business, Healthcare Administration, or related field.
- 2–4+ years of experience in healthcare revenue cycle.
- Strong understanding of front-end billing processes.
Natera
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions.