Revenue Cycle Analyst - Denials & Appeals

NateraRemote · Posted 2 days ago

Full-timeRemoteEst. 80,200 USD

Description

POSITION SUMMARY

The Revenue Cycle Analyst – Denials & Appeals (Unresponded) supports the post-appeal response tracking function within Natera's Billing Operations by providing data-driven insights, workflow analysis, and performance reporting. This role works closely with the Manager of the Unresponded Team to identify backlog trends, monitor SLA compliance, and support the development and implementation of operational and system-based workflow improvements. The Analyst serves as a key analytical resource bridging offshore and onshore team performance with strategic priorities across the Denials & Appeals department.

JOB RESPONSIBILITIES

Serves as the primary analytical resource for the Unresponded team, tracking and reporting on post-appeal payer response activity across commercial and non-commercial plans
Monitors key performance metrics including backlog aging, SLA adherence, appeal response rates, and resolution trends — surfacing findings to the Manager and broader leadership on a regular cadence
Leads or supports weekly metric review meetings, presenting trend analysis, workflow gaps, and performance improvement opportunities to operational and leadership stakeholders
Analyzes unresponded appeal data to identify root causes of backlog growth, payer-specific delays, and patterns that inform prioritization decisions
Partners with the Manager to translate operational findings into actionable workflow recommendations, including input for technology and systems teams on process improvement needs
Supports configuration and ongoing validation of billing systems and payer portal workflows to ensure accurate, timely tracking of appeal responses
Collaborates with the Denials & Appeals teams to ensure error trends identified within the unresponded scope are documented, quantified, and incorporated into feedback loops
Tracks offshore and onshore team productivity metrics and supports performance reporting for the Supervisor and leadership team
Researches payer-specific appeal response requirements, billing and coding updates, and reimbursement policy changes across all plan types, translating findings into recommended departmental actions
Develops and maintains project plans supporting workflow builds, backlog reduction initiatives, and SLA improvement efforts
Performs other duties as assigned

QUALIFICATIONS

Bachelor's Degree in Business, Healthcare Administration, or a related field preferred
Advanced Excel and data analysis skills
Experience using SQL (basic level), PowerBI, and working with raw data sets is highly preferred
Minimum 4–6 years of experience in medical billing, denials management, insurance collections, or revenue cycle operations
Experience working with or analyzing post-appeal payer response workflows
Familiarity with commercial and non-commercial payer plans and appeal processes required
Advanced knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes
Experience with multiple payer portals required; AMD experience preferred

KNOWLEDGE, SKILLS & ABILITIES

Strong analytical skills with the ability to work with large datasets, identify trends, and present findings clearly to operational and leadership audiences
Proficiency in Microsoft Excel required; experience with billing platforms, payer portals, and reporting tools strongly preferred
Solid understanding of the appeals lifecycle, particularly post-submission tracking and resolution workflows
Ability to translate data insights into practical operational recommendations and support their implementation
Strong project management skills with the ability to manage multiple priorities simultaneously in a high-volume environment
Effective communicator across all levels — comfortable working with offshore teams, onshore leadership, and cross-functional partners including technology stakeholders
Detail-oriented with strong organizational skills and the ability to maintain accuracy under tight SLA-driven deadlines
Maintains confidentiality of PHI; this role regularly accesses sensitive patient and payer information in both paper and electronic form

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. This may differ in other locations due to cost of labor considerations.

Remote USA

$65,400—$95,200 USD

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

Revenue Cycle Analyst - Denials & Appeals

Description

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