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Eligibility and Prior Authorization Specialist-Temp

Natera · Remote

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Role summary

Natera seeks an Eligibility and Prior Authorization Specialist to oversee reimbursement operations and revenue cycle performance. The role involves analyzing trends, coordinating with internal and external stakeholders, and managing prior authorization and eligibility processes to optimize cash collections.

What they're looking for

  • At least 3 years medical billing and insurance collections experience
  • At least 3 years eligibility and prior authorization experience
  • Knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes
  • Proficiency with medical billing systems and Microsoft Excel
  • Bachelor's degree in healthcare-related field or equivalent experience
  • Strong analytical, communication, and problem-solving skills

What you'll be doing

  • Analyze trends and identify performance improvement opportunities in revenue cycle operations
  • Coordinate with vendor teams and internal departments to ensure timely, accurate processing
  • Monitor eligibility and prior authorization changes and research policy guidance
  • Develop goals, metrics, and project implementation plans aligned with organizational strategy
  • Create reports and analysis documenting trends and actionable insights

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