Manager, Revenue Cycle - Austin, United States - Natera

Natera

Verified Company

Austin, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary:

The Manager, Revenue Cycle - Vendor Management is responsible for developing and maintaining successful relationships with our vendor network, establishing and measuring required performance levels from vendor onboarding throughout the entire relationship, and assuming primary responsibility for maintaining open and effective lines of communication between both parties.

Responsibilities:

Effectively and simultaneously manages multiple large vendors utilized for processes related to the submission of prior authorization requests.
Ensures timely/accurate submission and associated subsequent work of all prior authorizations assigned to each vendor.
Analyze/manage vendor performance based on established metrics.
Monitor and direct work to obtain prior authorization outcomes, including analyzing reimbursement, prior authorization decisions, and denials management.
Participate in regularly scheduled meetings with managers/supervisors to assess issues and to identify/implement improvements for more efficient operations.
Develop actionable roadmaps for improving workflows and processes.
Meets established deadlines timely, accurately, and with a sense of urgency.
Represent organizational projects and assist management with followthrough and implementation of initiatives.
Assists with implementing strategic goals through utilization of vendors and their staff.
Act as a liaison with internal departments to promote ongoing communication, and collaboration on crossfunctional projects related to prior authorization.
Monitor and validate adherence to Policies and Procedures, auditing as necessary.
Foster positive working relationships and regular communications between vendors and client.
Maintain a current status on Natera training requirements.
Performs other duties as assigned.
Completion of all training related 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.
This role works with PHI on a regular basis both in paper and electronic form and have an access to various technologies to access PHI (paper and electronic) in order to perform the job.

QUALIFICATIONS:

Minimum of 5 years of revenue cycle experience in a high volume, fast growing billing company/office (direct experience with the prior authorization process and in a laboratory setting is preferred).
Extensive knowledge of reimbursement, billing, coding and compliance regulations is required.

KNOWLEDGE, SKILLS, AND ABILITIES:

Training in positions within the healthcare revenue cycle. Normally requires a minimum of two (2) years directly related and progressively responsible experience.
Ability to perform complex analysis and discuss with upper management.
Skilled in

Microsoft Office:
Word and Excel.

Ability to communicate effectively both orally and in writing. Strong interpersonal skills.
Strong organizational skills, including attention to detail.
Knowledge of payer guidelines and prior authorization guidelines/requirements.
Health care research and analysis skills sufficient to support payer research healthcare policy library and state management.
Ability to resolve associate issues effectively and efficiently.
Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets).
Experience with BI tools preferred.
Ability to define problems, collect and reconcile data, and validate data against source information.
Motivated, shows initiative and ability to work in fast paced environment.
Drive for results (Service, Quality, and Continuous Improvement).
Commitment to successful achievement of team and organizational goals.
Demonstrate a focus on listening to and understanding client/vendor needs.

PHYSICAL DEMANDS & WORK ENVIRONMENT:
Duties are typically performed in an office setting. This position requires the ability to use a computer keyboard, communicate over the telephone and read printed material. Duties may require working outside normal working hours (evenings and weekends) at times.

San Carlos, CA
$105,400—$131,800 USD

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 g