Position Summary
The Associate Revenue Cycle Analyst is responsible for investigating and resolving complex front-end billing issues that impact claim acceptance and reimbursement. This role focuses on EDI rejections, insurance verification, and claim submission errors to ensure claims are submitted accurately and accepted by payers.
This is a highly analytical, project-based role that serves as a subject matter expert (SME) for front-end revenue cycle processes. The Analyst will identify trends, perform root cause analysis, and drive process improvements to prevent downstream denials and optimize reimbursement outcomes.
Key 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
Scope & Nature of the Role
- May include outbound communication with payers or clearinghouses for issue resolution
- Primarily analytical and project-driven, focused on complex issue resolution and process improvement
- Acts as an escalation point for front-end billing issues
Qualifications
- Bachelor’s degree in Business, Healthcare Administration, or related field
- 2–4+ years of experience in healthcare revenue cycle, with exposure to:
- EDI / clearinghouse processes
- Insurance verification / eligibility
- Claim submission workflows
- Strong understanding of front-end billing processes and how they impact downstream reimbursement
Required Skills & Experience
- Advanced proficiency in Excel (pivot tables, data analysis)
- Experience with data and reporting tools such as Power BI, SQL, or Snowflake
- Strong analytical and problem-solving skills with the ability to identify trends and root causes
- Working knowledge of medical billing fundamentals (CPT/HCPCS, ICD-10, payer rules)
- Ability to navigate and troubleshoot issues across multiple systems and workflows
- Strong communication skills, with the ability to explain complex issues clearly to cross-functional teams
Preferred Qualifications
- Experience working with EDI transactions and clearinghouses (e.g., Change Healthcare, Availity, etc.)
- Experience in diagnostic/lab billing or high-volume healthcare environments
- Exposure to process improvement methodologies (Lean, Six Sigma, etc.)
- Project management experience or involvement in cross-functional initiatives
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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