POSITION SUMMARY:
The Clinical Billing Genetic Counselor is responsible for day-today revenue cycle project work related to billing processes across all products and payers. They will develop processes and assist with and/or complete projects related to clinical revenue cycle management. They are expected to work across departments to integrate clinical knowledge and expertise.
PRIMARY RESPONSIBILITIES:
- Works on clinical revenue cycle projects related all products.
- Serves as a source of knowledge and performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement across products.
- Establishes an ongoing working relationship with other departments impacting revenue cycle performance.
- Works closely with various vendor operations teams (Prior authorization, Claims and Appeals) on operational activities that directly impact the revenue cycle to accurately process actions in a timely manner for optimal reimbursement.
- Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
- Collect data metrics on revenue cycle projects.
- Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
- Supervise clinical assistants as needed.
- 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) 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.
- Performs other duties as assigned.
QUALIFICATIONS:
- Relevant work experience or Master’s degree in Genetic Counseling or equivalent degree
- Five or more years of clinical and/or laboratory experience
- Revenue cycle and/or insurance billing experience is a plus
KNOWLEDGE, SKILLS, AND ABILITIES:
- In-depth technical understanding of Natera’s products
- Exceptional communication skills (oral and written) and attention to detail
- Demonstrated ability to work independently AND collaborate with team members
- Motivated to be creative and brainstorm innovative solutions
- Familiarity with Google and Microsoft suite of work products
- A desire to work for a dynamic and growing molecular genetics laboratory and manage growth for optimal success
PHYSICAL DEMANDS & WORK ENVIRONMENT:
Job duties are performed in the employee’s home office; office space should be private and have internet access. Position requires the ability to use a computer keyboard, communicate over the telephone, and read printed or online material. Duties may require working outside normal working hours (evenings and weekends) at times.