Market Access Payor Analyst

United StatesRemote

Responsibilities

● Bachelor’s Degree healthcare-related field of study or equivalent experience.
experience in revenue cycle or claim analysis
● Knowledge of CPT/HCPCS. ICD-10, modifier selection, and UB revenue codes.
● Proficiency with medical or claim billing systems, Microsoft Excel, reporting software, and basic procedure coding knowledge. ●
Experience with PowerBi and SQL is desired.
● Knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
● Knowledge of the appeal process and procedures.
● Ability to independently solve complex problems using critical thinking skills.
Duties are typically performed in a remote office setting. This position requires the ability to use a computer keyboard, communicate over the telephone and read printed material.
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health.

benefits and insurance verification using various systems and portals internal and external.
The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location.
Remote USA $90,000 — $112,500 USD OUR OPPORTUNITY
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.
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

For more information, visit www.natera.com .
Link: https://www.natera.com/notice-of-data-collection-california-residents/
Please be advised that Natera will reach out to candidates with a @ natera.com email domain ONLY.

The Market Access Payor Analyst is responsible for profiling, researching, and resolving reimbursement issues for assigned payors, products, or lines of business.
This position performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for payment and performance improvement. Using data analytics, they derive logical conclusions and forecasts from implementing strategies that can improve business performance. Primary Responsibilities:
● Formulates and develops presentations for project analysis needs from Finance, Billing, Market
Access, Product Leads, and other teams as required.
● Identify functions and barriers that affect ASP and revenue including identifying trends,
opportunities, and risks for all payors and products.
● Compares payor reimbursement patterns based on medical policies, contract language,
● Investigate designated payors' literature and agencies, and stay current on new indicators, such
● Develops strategies to improve reimbursement and reduce denials for assigned payors based on trends and analysis findings.
● Identifies areas of opportunities for process improvements, automation, and efficiencies.