Revenue Cycle Claims Denial Specialist

Are you a detail-oriented individual with a passion for problem-solving? Do you have experience in revenue cycle management and a strong understanding of medical claims denial processes? If so, we have an exciting opportunity for you to join our team as a Revenue Cycle Claims Denial Specialist at Natera.As a leader in genetic testing and diagnostics, Natera is dedicated to improving the lives of patients and their families. Our Revenue Cycle Claims Denial Specialists play a crucial role in ensuring accurate and timely reimbursement for our services. We are seeking a highly motivated and organized individual to join our team and help us achieve our mission.If you have a keen eye for detail, excellent communication skills, and a proven track record of resolving complex claims denials, we encourage you to apply for this role. Join us in making a difference in the lives of patients by helping us overcome barriers to reimbursement and ensuring access to life-saving genetic testing.

1. Review, analyze, and resolve complex claims denials for medical services provided by Natera.
2. Utilize knowledge of revenue cycle management and medical claims processes to identify and address issues that result in denials.
3. Work closely with insurance companies, healthcare providers, and patients to obtain necessary information and documentation for appeals.
4. Maintain accurate and detailed records of all denied claims and the steps taken to resolve them.
5. Collaborate with internal teams, including billing and coding, to ensure accurate submission of claims and identify potential areas for improvement.
6. Stay up-to-date on industry changes and updates related to medical claims and reimbursement.
7. Communicate effectively with insurance companies and healthcare providers to negotiate favorable outcomes for denied claims.
8. Provide timely updates and progress reports to management and other stakeholders.
9. Participate in training and development programs to enhance knowledge and skills related to revenue cycle management and claims denial processes.
10. Adhere to all HIPAA and other regulatory guidelines to protect patient privacy and confidential information.
11. Continuously strive to improve processes and procedures to minimize the number of claims denials.
12. Maintain a positive and professional attitude while working with insurance companies, healthcare providers, and patients.
13. Meet productivity and quality metrics to ensure timely and accurate resolution of claims denials.
14. Collaborate with team members to share best practices and assist with complex cases.
15. Uphold Natera's mission and values by providing exceptional service to patients and striving for excellence in all areas of work.

According to JobzMall, the average salary range for a Revenue Cycle Claims Denial Specialist is $40,000 to $60,000 per year. However, this can vary depending on the location, experience, and skills of the individual. Some experienced and highly skilled specialists may earn up to $80,000 per year. It is important to note that these figures are only estimates and may be subject to change.

Natera is a genetic testing company that operates a CLIA-certified laboratory in San Carlos, California.