Senior Billing Strategy Analyst

Job Summary:

The Senior Billing Strategy Analyst at Natera will leverage advanced professional knowledge of Healthcare Reimbursement, revenue cycle functions, and expertise in complex billing strategies to support finance, billing, market access, and product teams. This role involves performing in-depth data analysis, creating data visualizations, managing projects, and aiding in improving processes to ensure efficient operations and adherence to organizational goals. The ideal candidate has at least 8 years of related experience and a proven ability to handle complex issues, use advanced technical and analytical skills, and provide innovative solutions related to reimbursement and revenue cycle. 

Primary Responsibilities:

• Conduct complex data analysis and interpretation to support decision-making by organizational stakeholders.
• Harvest, validate and manipulate data in order to develop data visualizations and dashboards to show key insights. 
• Provide timely financial and business analytics, including monitoring and reporting on key performance indicators. 
• Analyze payer contract compliance, prior authorization, denial, and reimbursement trends.
• Conduct in-depth reviews and audits to identify issues/trends and develop actionable remediation plans.
• Design, execute, and evaluate improvement projects based on data-driven insights.
• Develop actionable roadmaps for improving workflows and processes.
• Coordinate with multiple teams for process improvement and efficiency optimization.
• Monitor adherence to SOPs, SLAs, productivity, and quality standards set by leadership.
• Support project management to ensure successful and timely completion.
• Assist with governance and rollout of Natera SOP documentation.
• Utilize tools such as Excel, Power BI, and other business intelligence tools for a wide range of analytics functions.
• Comply with HIPAA/PHI privacy regulations when handling PHI and complete required training within 30 days of hire.

Qualifications:

• Bachelor's Degree in business, economics, related field, or equivalent required.
• Minimum of 8 years of experience in business administration, information systems, health sciences, insurance company, or healthcare billing organization.
• Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets).
• Experience presenting to a variety of stakeholders including senior management.
• Basic SQL knowledge and ability to query databases.
• Experience with BI tools (e.g., Business Objects, Hyperion) preferred.
• Strong problem-solving skills, with the ability to define problems, collect and reconcile data, and validate data against source information.
• Self-motivated and shows initiative in a fast-paced environment.
• Committed to achieving team and organizational goals and delivering high-quality results.
• Driven to continuously improve processes and outcomes.
• Excellent client/customer service skills, with the ability to exceed service and quality expectations.
• Strong collaboration and communication skills to work effectively with teams.

Knowledge, Skills, and Abilities:

• Provides solutions to issues in creative and effective ways.
• Understands the interrelationships of different disciplines and guides the development of new policies and ideas.
• Works on complex issues where analysis of situations or data requires an in-depth evaluation of variable factors.
• Exercises judgment in selecting methods, evaluating, adapting complex techniques, and evaluation criteria for obtaining results.
• Networks with key contacts outside their own area of expertise.
• Adapts style and uses persuasion in delivering messages that relate to the wider firm business.
• Frequently advises others on complex matters and may be accountable through the team for the delivery of tactical business targets.