Natera
AssociateRevenueCycleAnalyst-PriorAuthorizations
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“Associate Revenue Cycle Analyst - Prior Authorizations at Natera. Skills: Inventory Management, Prior Authorization, Data Analysis, Stakeholder Management. Monitors PA work to identify inventory volume. Determines interventions to move files forward”
What You'll Achieve.
meet established Service Level Agreements (SLAs); minimize front-end friction; optimize reimbursement; maintain SLA compliance; ensure submissions are 'right the first time'; drive continuous performance improvement; adhere to the organization’s high standards for reimbursement accuracy; Submission Turnaround Time (TAT); inventory 'bottleneck' age; vendor error rates
Industry & Context.
Technical Problem Solving; Root-Cause Trend Analysis
HIPAA, confidentiality protocols
What They're Looking For.
Must Have
2–4 years of experience in healthcare revenue cycle, specific focus on prior authorization analysis, medical billing, inventory management, Advanced ability to manage high-volume inventory, identify specific points of failure or stagnation within a process, critical thinking skills to troubleshoot logic errors and discrepancies between payor responses and internal routing rules, High proficiency in Microsoft Excel/Google Sheets (VLOOKUPs, Pivot Tables, Data Visualization), Ability to influence and work effectively across diverse teams, Ability to translate complex data into clear, concise reports for stakeholders at all levels, Deep understanding of medical terminology and procedure coding as it relates to payor-specific submission requirements, Strict adherence to HIPAA and confidentiality protocols regarding sensitive patient and financial data
What You'll Do.
Monitors PA work to identify inventory volume
Determines interventions to move files forward
Ensures upstream data is complete and accurate
Investigates payer and vendor discrepancies
Documents specific PA job requirements
Conducts analysis on PA delays
Assists in building tracking tools
Reviews vendor performance and output
Tracks and reports on key metrics
Acts as a liaison for management
Serves as a technical resource
How You'll Work.
Team & Collaboration
Collaborating with internal stakeholders; Partners with Market Access; works with Claims/Denials teams; work effectively across diverse teams; liaison for management; technical resource for internal teams
Communication Scope
Analytical Communication
Process & Methodology
Workflow & Tracking Development
Full Job Description
Job Summary: Associate Revenue Cycle Analyst The Associate Revenue Cycle Analyst is responsible for driving operational excellence and data integrity within the Prior Authorization (PA) function. This role focuses on the end-to-end health of the PA submission pipeline, ensuring inventory moves efficiently to meet established Service Level Agreements (SLAs). By collaborating with internal stakeholders – including Market Access, Genetic Counselors, Medical Records, Insurance Verification, Claims/Denials/Appeals, etc. – this analyst identifies bottlenecks, investigates systemic anomalies, and provides data-driven insights to minimize front-end friction and optimize reimbursement. Job Responsibilities Inventory Diagnostic & Management: Actively monitors the PA work to identify inventory volume, aging trends, and "stuck" requests. Determines necessary interventions to move files forward and maintain SLA compliance. PA Submission Integrity: Serves as the operational analyst for the submission workflow, ensuring that all upstream data is complete and accurate before submission. Cross-Functional Collaboration: Partners with Market Access to align on payor policies and works with Claims/Denials teams to bridge the gap between authorization feedback and actual payment outcomes. Anomaly Investigation: Performs deep-dive investigations into payer and vendor discrepancies (e.g., analyzing why a payer returns "PA Not Required" for a service specifically flagged for authorization) and recommends system logic or workflow adjustments. Requirements & Documentation Management: Identifies and documents specific PA job requirements (e.g., required clinical notes, specific forms, or portal-specific data fields) to ensure submissions are "right the first time." Root-Cause Trend Analysis: Conducts analysis on PA delays or submission failures, presenting actionable findings to leadership to drive continuous performance improvement. Workflow & Tracking Development: Assists in building and re
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