Sr Director, Billing Strategy
The Sr Director of Billing Strategy plays a key role in leading strategic improvements within the revenue cycle processes in Natera. This role will oversee Natera product(s) reimbursement and revenue cycle operations that impact the financial performance of the product(s) . They are expected to work across departments to integrate RCM knowledge and expertise.
PRIMARY RESPONSIBILITIES Manages revenue cycle projects related to specific products by identifying opportunities in process improvement, redesign process and documentation of SOPs, implementation and monitoring of operational metrics. Serves as a source of knowledge and performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement. Responsible for developing appropriate workflows and tracking all aspects related to the life of a claim by performing routine assessment of SOP compliance, audit of claims and/or in depth analysis of trends in denials, claims management etc. Establishes an ongoing working relationship with other departments impacting revenue cycle performance. Works closely with various vendor RCM teams (Eligibility, Prior authorization, Claims Management, AR & Denial Management and Patient Billing) to oversee operations activity that directly impacts 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 tools and develop processes focused on these tools including but not limited to: consents, protocols, SOPs Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met. Create systems, patient and payer materials related to revenue cycle management 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.
Relevant work experience or Master’s degree in Healthcare or finance, or equivalent degree 7- 10 years of revenue cycle experience
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 PowerBI, Google and Microsoft suite of work products A desire to work for a dynamic and growing molecular genetics company and manage growth for optimal success
PHYSICAL DEMANDS & WORK ENVIRONMENT
Job duties are performed in the employee’s home office; office space should be private and have internet access. Position requires the ability to use a computer keyboard, communicate over the telephone, and read printed or online material. Duties may require working outside normal working hours (evenings and weekends) at times.
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.
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.