Revenue Cycle Claims Specialist-Temp

Related keywords: medical billing and coding remote jobremote job medical billingremote job in healthcare

This page contains product affiliate links.

Overview

The Revenue Cycle Claims Specialist position at Natera is centered on enhancing Revenue Cycle Management (RCM) by fostering productive relationships within the organization. This role emphasizes managing revenue cycle projects and driving operational performance related to reimbursement, targeting effective cash collections.

Key Responsibilities

In this position, the specialist will be responsible for:

• Maintaining knowledge about designated revenue cycle functions.
• Analyzing data, identifying trends, presenting improvement opportunities, and prioritizing initiatives.
• Developing and tracking workflows for effective revenue cycle management.
• Establishing collaborative relationships with departments that influence revenue cycle performance.
• Coordinating with vendor operations such as Claims, Prior Authorization, and Appeals for timely reimbursement processes.
• Tracking payment resolution outcomes, managing claims appeals, and ensuring operational goals are met.
• Leading weekly meetings to assess key metrics, trends, and identify areas for performance improvement.
• Researching billing and coding changes while evaluating guidance to determine departmental actions.
• Communicating with management on trends/issues affecting the revenue cycle.
• Developing measurable goals that align departmental initiatives with overall strategy.
• Managing and monitoring project implementation plans successfully.
• Educating teams on performance improvement methodologies and requirements.
• Continuously identifying new technologies to enhance improvement opportunities.

Required Qualifications

Candidates should possess the following qualifications to be considered:

• Experience: At least three years in medical billing and insurance collections. Familiarity with prior authorization requirements, payer utilization management policies, and appeals is essential.
• Knowledge: Knowledge of CPT/HCPCS codes, ICD-10, modifier selection, and UB revenue codes is required.
• Educational background in a healthcare-related field or equivalent experience is necessary.

Skills and Abilities

The ideal candidate will demonstrate several important skills:

• Proficiency with medical billing systems, Microsoft Excel, and basic procedure coding knowledge.
• Strong communication abilities, both verbal and written, and excellent organizational skills.
• Problem-solving capabilities and the ability to work as a team player.
• Capacity to manage multiple customer demands and navigate competing priorities successfully.
• Analytical skills for identifying and articulating trends clearly and concisely.
• Critical thinking skills for effective problem-solving in the revenue cycle.
• Maintaining confidentiality of sensitive information.

Compensation

The pay range for this role is between $23 to $29 per hour. However, actual compensation may vary based on factors unique to the candidate such as skill set, experience, certifications, and specific office locations. Note that compensation may differ in other locations due to local labor cost variations.

Working Environment

This is a temporary position that allows for remote work within the USA. Working for Natera, candidates will join a dynamic company that focuses on innovative genetic testing and diagnostics in the fields of oncology, women's health, and organ health.

About Natera

Natera is recognized as a global leader in cell-free DNA (cfDNA) testing. The company’s mission is to integrate personalized genetic testing and diagnostics into standard healthcare to enhance condition management and patient outcomes. The diverse team at Natera includes statisticians, geneticists, doctors, laboratory scientists, business professionals, and software engineers, all dedicated to advancing healthcare.

Employee Benefits

Natera offers a competitive benefits package including:

• Comprehensive medical, dental, and vision plans for employees and their families.
• Free genetic testing services for employees and immediate family members.
• Fertility care benefits and generous leave policies for new parents.
• A 401k plan along with commuter benefits.
• A rewarding employee referral program.

Workplace Culture

Natera is committed to an Equal Opportunity Employment policy, valuing diverse backgrounds and experiences within the workplace. The organization recognizes that diverse teams lead to better outcomes for employees, communities, and patients. All qualified applicants will be considered for employment irrespective of various factors, including race, gender, sexual orientation, disability, and other legally protected statuses.

Conclusion

The Revenue Cycle Claims Specialist-Temp position at Natera offers a significant opportunity for candidates with a keen interest in healthcare billing and financial management. Successful applicants will not only enjoy a competitive salary and comprehensive benefits but also work in an intellectually stimulating environment that promotes professional growth.

This job offer was originally published on himalayas.app