The position of RCM Solutions Manager is essential to ensuring the execution of billing configuration and automation strategy goals.  This individual will ensure the operational direction and technical expertise needed to execute all RCM billing system solutions projects is provided. This individual is expected to work across departments to integrate RCM knowledge and expertise.

PRIMARY RESPONSIBILITIES

Lead and Manage RCM System Solutions related to process improvement, redesign processes.

Serves as a source of knowledge and performs analysis for performance improvement.

Lead the Collaboration and coordination with other departments impacting revenue cycle billing system solutions

Help identify areas of monetary loss in the revenue cycle process

Work with various teams to help keep drive them towards the goal of reducing loss in the revenue cycle process

Keep track of progress made by teams in fixing areas of loss towards the goal of achieving higher revenue

Ownership for tracking overall progress with status reports to leadership

Tracks outcomes of billing system payment resolution, appeals, and negotiated claims 

Implement appropriate technology solutions to support continued improved cash collection performance. 

Manage projects and initiatives for improved reimbursement and reporting on actual performance against these targets; continue to monitor performance for process control. 

Meets established deadlines timely, accurately, and with a sense of urgency.

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

Bachelor’s degree in Biology (Engineering) or equivalent.  MS or PhD in Biological Sciences preferred.

Certifications in System administration and Systems Engineering or other certifications are a plus

Minimum of 12 years of in revenue cycle, information systems, health insurance or healthcare billing Genetic testing  or laboratory diagnostic experience, a plus. 

Knowledge of configuring and setting up hardware and software

Demonstrated ability to learn new systems and software applications.

KNOWLEDGE, SKILLS, AND ABILITIES

The role will require interaction with a wide range of fellow employees, senior leaders, as well as external auditors and experts, so a high standard of discipline and professionalism is required.

Ability to think creatively and initiate new ideas or solutions to business issues. 

Independence of thought and sound judgment relating to business needs. 

Demonstrated commitment, self & team motivation, and drive.

Act as an agent of change, positive influence, while maintaining appropriate level of independence.

Ability to work in a fast-past, competing deadline driven environment.

Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets).

Excellent SQL skills with experience in writing complex queries.

Experiences in Snowflake preferred.

Experience with BI tools such as Power BI or Tableau.

Ability to define problems, collect and reconcile data, validate data against source information.

Experience in Python statistical programming preferred.

Motivated, shows initiative, and ability to work in a fast paced environment.

Possess strong interpersonal skills and the ability to sell the business reason for the change.

Drive for Results (Service, Quality, and Continuous Improvement).

Commitment to the successful achievement of team and organizational goals.

Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations.

Excellent communication and soft skills

 

#LI-AB1

 

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.San Carlos, CA $110,000—$130,000 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