Associate Revenue Cycle Analyst - Billing

Summary

Natera is a global leader in cell-free DNA testing and genetic diagnostics focused on oncology, women’s health, and organ health. The Associate Revenue Cycle Analyst – Billing serves as a subject matter expert for clean claim submission, investigating billing and claim rejection issues, analyzing data, and implementing sustainable solutions. The role independently manages complex improvement initiatives and partners with cross-functional teams to improve claim accuracy, payer acceptance, and revenue cycle performance.

Responsibilities

• Serve as a subject matter expert for clean claim submission and front-end billing processes, with a strong understanding of the claim lifecycle from claim creation through payer receipt and acceptance
• Analyze claim rejections and operational data to identify trends, recurring issues, root causes, and opportunities to improve clean claim performance
• Investigate EDI and clearinghouse rejections, duplicate submission issues, incorrect or missing ICN information, prior authorization-related rejections, provider enrollment and NPI registration issues, patient demographic errors, and other claim submission barriers
• Research rejection reasons, determine the root cause, and provide all of the necessary information, documentation, system corrections, or operational changes to the appropriate cross-functional teams in order to resolve them
• Evaluate identified issues beyond the individual claim to determine the broader claim population, payer, workflow, or business processes impacted
• Identify upstream causes of claim rejections and develop sustainable solutions designed to prevent recurrence and reduce downstream denials
• Use SQL and Snowflake to obtain and analyze claim and operational data, quantify issues, identify affected populations, validate root causes, and measure improvement
• Utilize advanced Excel functionality, including pivot tables and lookup functions, to analyze large datasets, identify meaningful trends, and create clear and actionable reporting
• Develop dashboards, reports, automation, tracking tools, and other analytical resources to improve visibility into claim submission and rejection performance
• Independently manage complex issue resolution and improvement initiatives from initial identification through completion, including coordinating cross-functional work, tracking progress, testing solutions, validating implementation, and monitoring post-implementation results
• Partner closely with Coding, Insurance Verification, Prior Authorization, provider enrollment, technology, vendor operations, and other teams whose processes impact clean claim submission and acceptance
• Maintain ownership of cross-functional issues rather than simply escalating or transferring them, ensuring identified problems are followed through to successful resolution
• Develop and improve workflows and SOPs that increase claim accuracy, operational efficiency, and first-pass payer acceptance
• Monitor key performance indicators, rejection trends, and operational performance to proactively identify emerging issues and opportunities for improvement
• Create and present detailed, executive-ready presentations communicating trends, root causes, remediation efforts, project status, and upstream and downstream revenue cycle impacts
• Translate complex billing and analytical findings into clear recommendations for operational teams and leadership
• Maintain knowledge of payer requirements, billing rules, EDI processes, and other changes affecting claim submission and acceptance
• Act as an educator and resource to operational teams regarding identified issues, process improvements, and best practices
• Proactively identify opportunities to leverage data, technology, automation, and workflow improvements to increase clean claim rates and prevent avoidable rejections and denials

Skills

• 2–3+ years of experience in medical billing, claims operations, revenue cycle management, insurance collections, or a related healthcare function
• Strong understanding of healthcare revenue cycle processes and the claim lifecycle, particularly claim creation, submission, clearinghouse processing, payer acceptance, rejection, and denial
• Working knowledge of medical billing and coding concepts, including CPT/HCPCS, ICD-10, modifiers, authorization requirements, payer requirements, and claim identifiers
• Proficiency with Microsoft Excel, including pivot tables, lookup functions, data manipulation, and analysis of large datasets
• Working knowledge of SQL and experience using a data warehouse or analytics platform such as Snowflake. Candidates should be able to independently obtain the data needed to answer business questions using SQL, including effectively leveraging AI-assisted query development when appropriate
• Demonstrated ability to analyze data, recognize patterns, investigate root causes, and translate findings into actionable operational solutions
• Strong project management and organizational skills with demonstrated ability to independently drive initiatives from problem identification through implementation and post-implementation monitoring
• Strong written and verbal communication skills, including the ability to create polished presentations and communicate detailed findings to leadership
• Ability to work autonomously, follow complex issues through multiple systems or teams, and proactively determine appropriate next steps
• Strong critical-thinking, problem-solving, and solution-oriented mindset
• Ability to quickly learn new revenue cycle processes, systems, technologies, and payer requirements
• Bachelor's degree in business, healthcare, analytics, or a related field preferred
• Experience investigating claim rejections, EDI transactions, clearinghouse issues, payer requirements, provider enrollment, or other front-end billing issues strongly preferred

Qualifications

Must Haves

• 2–3+ years of experience in medical billing, claims operations, revenue cycle management, insurance collections, or a related healthcare function
• Strong understanding of healthcare revenue cycle processes and the claim lifecycle, particularly claim creation, submission, clearinghouse processing, payer acceptance, rejection, and denial
• Working knowledge of medical billing and coding concepts, including CPT/HCPCS, ICD-10, modifiers, authorization requirements, payer requirements, and claim identifiers
• Proficiency with Microsoft Excel, including pivot tables, lookup functions, data manipulation, and analysis of large datasets
• Working knowledge of SQL and experience using a data warehouse or analytics platform such as Snowflake. Candidates should be able to independently obtain the data needed to answer business questions using SQL, including effectively leveraging AI-assisted query development when appropriate
• Demonstrated ability to analyze data, recognize patterns, investigate root causes, and translate findings into actionable operational solutions
• Strong project management and organizational skills with demonstrated ability to independently drive initiatives from problem identification through implementation and post-implementation monitoring
• Strong written and verbal communication skills, including the ability to create polished presentations and communicate detailed findings to leadership
• Ability to work autonomously, follow complex issues through multiple systems or teams, and proactively determine appropriate next steps
• Strong critical-thinking, problem-solving, and solution-oriented mindset
• Ability to quickly learn new revenue cycle processes, systems, technologies, and payer requirements

Nice to Haves

• Bachelor's degree in business, healthcare, analytics, or a related field preferred
• Experience investigating claim rejections, EDI transactions, clearinghouse issues, payer requirements, provider enrollment, or other front-end billing issues strongly preferred

Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• Natera employees and their immediate families receive free testing
• Fertility care benefits
• Pregnancy and baby bonding leave
• 401k benefits
• Commuter benefits
• Generous employee referral program