Associate Director Clean Claims Revenue Cycle Operations

POSITION SUMMARY

Effectively leads claim rejections timely filing unresponded claims claims billing and submissions and related accounts receivable management teams while maintaining a full understanding of Nateras billing information system and all aspects of revenue cycle management. The Associate Director manages the activities of the billing staff through daily supervision while overseeing relevant functions. The Associate Director executes and implements strategic goals for through the utilization of their leadership team. The Associate Director leads individuals who direct and plan daily workflow activities for billing staff members. The Associate Director functions as a member of the leadership team in strategic planning and advisory capacities.

PRIMARY RESPONSIBILITIES

• Directs Billing Management and staff to ensure that accurate submission of all claims and timely collections occurs in accordance with all third party contract terms including Medicare Medical managed care commercial insurance and direct patient pay.
• Establishes and maintains all billing and financial data including medical billing code tables rate schedules and payer information.
• Analyzes reimbursement from all sources including carrier reimbursement exception reporting and follow up pending claims analysis and denials management.
• Maintains and enhance billing policies and procedures for each function in the revenue cycle process and ensure staff adherence to policies.
• Prepares detailed analyses and reports of billing and accounts receivable activity and results including performance matrixes.
• Manages for continuous improvements within the revenue cycle process.
• Effectively interacts with various functional areas provides mentoring coaching and performance reviews for direct reports.
• Manages all hiring orientation training development coaching corrective actions and ongoing monitoring of all staff workrelated activities.
• Ensures consistent quality of the billing services by distributing and assigning duties and responsibilities to employees ensuring skill levels are appropriate to the assigned tasks and monitoring the departments productivity.
• Actively collaborates with the cross functional partners such as Billing Strategy Payor Relations Systems Configuration and others on analysis of billing activity for monthly financial reporting the sales and marketing team of new and existing clients and senior management on performance and new initiatives.
• Participates in the various Committees for Billing related items; establishes and enforces departmental and company policies and procedures.
• Develops and monitors operating procedures and where necessary implements changes in workflow to improve productivity. Drafts accurate budgeting and forecasting of headcount.
• Creates and holds billing leadership accountable for established performance and production standards. Maintains billing related quality patient outcomes
• Interfaces with third party payers to resolve reimbursement issues and provides guidance to appropriate senior leadership regarding contracting challenges.
• Manages interacts with influences and manages the performance of offshore and onshore vendors and vendor partners.
• Prepares annual performance evaluations and recommends merit increase and bonus percentages. Promotes organizational efficiency needed change and continuous quality improvement.
• Identifies and implements opportunities for automation and improved efficiency.
• Assists as needed to perform other related duties and special projects as required.
• 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) in order 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.

QUALIFICATIONS

• Bachelors Degree in related field or equivalent required Minimum of 8 years of experience in managing a high volume fast growing billing office within the laboratory setting is preferred (staff of 50100.
• Extensive knowledge of reimbursement billing coding and compliance regulations is required.

KNOWLEDGE SKILLS AND ABILITIES

• Demonstrated leadership ability in a multisite environment.
• Capacity to actively engage and communicate with a wide variety of employees senior leaders and external auditors to drive change and problem solve.
• Ability to respond to change quickly and generate creative ideas and solutions to emerging business changes.
• Active visible and influential leadership style such as ability to directly engage arrive at conclusions drive consensus and monitor actions in support of quality outcomes.
• Skilled in researching interpreting and presenting data in a concise manner.
• Demonstrates strong ability to effectively plan organize and delegate.
• Leads by example and demonstrates commitment to continual improvement and a passion for excellence.
• Maintains a high standard of discipline professionalism and sound decision making for excellence. Ability to motivate a highly successful team to exceed performance goals drive change and lead a growing staff.
• Personable persuasive and comfortable navigating all levels of the workforce.
• Communication Proficient verbal and written communication skills.
• Willingness to share and receive information and ideas from all levels of the organization in order to achieve the desired results.
• Teamwork Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.
• Customer Service Focus Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations

OUR OPPORTUNITY

Natera is a global leader in cellfree DNA (cfDNA) testing dedicated to oncology womens 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 worldclass institutions who care deeply for our work and each other. When you join Natera youll work hard and grow quickly. Working alongside the elite of the industry youll 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 .

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: be advised that Natera will reach out to candidates with a @ 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