The Clinical Assistant II/Revenue Claims Specialist supports the Genetic Counseling project team by working on operations related to reimbursement, collecting follow-up data, serving as a liaison between other departments, and assisting with product improvements. This position is initially for a 6 month time frame, with the potential to convert to full time permanent.
Job Responsibilities:
Communicates directly with Prior authorization, Claims and Appeals, and lab teams to: Trouble shoot issues, verify samples, streamline processes and serve as a liaison between these teams and the genetic counselors.
Assist with data collection for internal projects/ product development and operations related to reimbursement.
Tracks outcomes of payment resolution, appeals, and negotiated claims to ensure goals are met.
Reviews and Monitors billing and coding changes, researches, evaluates, and interprets guidance from a variety of sources to determine departmental actions.
Participates in team meetings.
In addition to the above, the following clinical assistant duties would also be performed:
Review incoming referrals and claim denials and request additional documentation/clarification when needed.
Request and track sample collection kits and answer patient questions regarding samples
Update internal databases regarding test development progress and make notes in LIMS case ‘notes’ for each patient or provider contact.
Assist genetic counselors in answering questions from clinics and customer support.
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.
- Performs other duties as assigned
Qualifications:
High School Diploma (required)
BA/BS in biology, allied health, or science related field (strongly preferred).
Will consider candidates in pursuit of four-year bachelor’s degree program provided they meet required education requirements and at least 2-3 years professional work experience in biotech, life sciences, medical billing, insurance collections, or related industry.
Experience in insurance collections or medical billing preferred.
Required Knowledge, Skills and Abilities:
Experience with Microsoft Excel, Google mail and Google Documents
Excellent organization and attention to detail
OUR OPPORTUNITY
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s 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 world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll 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 www.natera.com.
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: 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. 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
