Associate Revenue Cycle Analyst

Position Summary The Associate Revenue Cycle Analyst is responsible for investigating and resolving complex front-end billing issues that impact claim acceptance and reimbursement. This role focuses on EDI rejections, insurance verification, and claim submission errors to ensure claims are submitted accurately and accepted by payers. This is a highly analytical, project-based role that serves as a subject matter expert (SME) for front-end revenue cycle processes. The Analyst will identify trends, perform root cause analysis, and drive process improvements to prevent downstream denials and optimize reimbursement outcomes. Key Responsibilities Serve as a subject matter expert for front-end revenue cycle functions, including EDI rejections, insurance verification, and claim submission processes Investigate and resolve complex billing issues that prevent claims from being successfully accepted by payers Analyze EDI rejection trends and payer-specific requirements to identify root causes and recommend corrective actions Partner with internal teams (billing operations, coding, patient access) and external vendors (clearinghouses, payers) to resolve systemic issues Develop and maintain reporting and dashboards (Excel, Power BI, SQL/Snowflake) to track rejection trends, performance metrics, and improvement opportunities Conduct root cause analysis on recurring front-end issues and implement process improvements to reduce claim errors and rework Support the development and optimization of workflows and quality controls related to claim submission and eligibility processes Monitor and evaluate the effectiveness of implemented solutions and track performance against key revenue cycle metrics Stay current on payer requirements, billing rules, and EDI standards, ensuring processes align with industry and regulatory expectations Lead or contribute to cross-functional projects aimed at improving front-end revenue cycle performance Scope Nature of the Role May include outbound communication with payers or clearinghouses for issue resolution Primarily analytical and project-driven, focused on complex issue resolution and process improvement Acts as an escalation point for front-end billing issues Qualifications Bachelor’s degree in Business, Healthcare Administration, or related field 2–4+ years of experience in healthcare revenue cycle, with exposure to: EDI / clearinghouse processes Insurance verification / eligibility Claim submission workflows Strong understanding of front-end billing processes and how they impact downstream reimbursement Required Skills Experience Advanced proficiency in Excel (pivot tables, data analysis) Experience with data and reporting tools such as Power BI, SQL, or Snowflake Strong analytical and problem-solving skills with the ability to identify trends and root causes Working knowledge of medical billing fundamentals (CPT/HCPCS, ICD-10, payer rules) Ability to navigate and troubleshoot issues across multiple systems and workflows Strong communication skills, with the ability to explain complex issues clearly to cross-functional teams Preferred Qualifications Experience working with EDI transactions and clearinghouses (e.g., Change Healthcare, Availity, etc.) Experience in diagnostic/lab billing or high-volume healthcare environments Exposure to process improvement methodologies (Lean, Six Sigma, etc.) Project management experience or involvement in cross-functional initiatives 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. Austin, TX $58,700 $73,400 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 gene ... (truncated, view full listing at source)