Rev Cycle Medical Records Case Mgr-Temp

Revenue Cycle Medical Records Case Manager (Temporary)

Company: Natera Location: Remote, USA Contract: Temporary Industry: Healthcare Seniority: Mid-Level

About the Role

Natera is seeking a temporary Revenue Cycle Medical Records Case Manager to support the documentation of medical necessity. This role involves facilitating the collection of medical records, conducting client outreach, providing expert review and interpretation of cases, and maintaining strong internal relationships within the Revenue Cycle Management team.

Key Responsibilities

• Obtain necessary medical documentation by collaborating with and acting as a liaison between in-house billing operations, customer experience groups, and clinic medical records departments.
• Demonstrate a thorough understanding of applicable CMS, state, and insurer medical policy and coverage guidelines, including LCD & NCD Coverage Criteria.
• Navigate and extract data from various electronic medical record systems, including EPIC.
• Serve as a subject matter expert for medical record review and interpretation, including in-depth analysis of provider progress notes and charts.
• Identify critical data points that support medical necessity and summarize findings for health insurance companies.
• Possess in-depth knowledge of oncology and organ health terminology, including chemotherapy and immunotherapy treatments.
• Develop and maintain working relationships with departments impacting revenue cycle performance.
• Participate in meetings, case reviews, and continuing education to discuss key metrics, workflows, trends, and performance improvement opportunities.
• Prioritize performance initiatives and achieve productivity goals while maintaining high-quality work standards.
• Adhere to department procedures and ensure all activities are documented and conducted in compliance with business process and regulatory requirements.
• Complete mandatory training related to HIPAA & PHI privacy, General Policies and Procedure Compliance, and security training.

Requirements

• At least 3 years of relevant experience in healthcare administration, case management, nursing, oncology/transplant clinic, medical billing/coding, appeals and denials management, or insurance collections.
• Bachelor's Degree (BS, LPN, RN, BSN, BSHA) in a healthcare-related field or equivalent experience.
• Knowledge of medical billing systems, medical terminology, basic procedure coding, and healthcare nomenclature.
• Proficiency with G-Suite products (Google Calendar, G-Sheets) and strong analytical skills.
• Previous experience in an Oncology or Transplant clinical setting is strongly preferred.
• Excellent organizational, time management, and problem-solving skills.
• Strong interpersonal skills with the ability to collaborate effectively with internal and external colleagues.
• Ability to thrive in a fast-paced, high-performing team environment requiring flexibility.
• Capacity to manage multiple customer demands and balance competing priorities.
• Ability to analyze, identify, and articulate trends clearly and concisely.
• Proficiency in using critical thinking skills to solve problems.
• Commitment to maintaining the confidentiality of sensitive Protected Health Information (PHI).

What We Offer

• Competitive hourly pay range: $27 - $34 USD (actual compensation will vary based on experience, certifications, and location).
• Opportunity to work with a global leader in genetic testing and diagnostics.
• Be part of a dedicated team focused on improving patient health outcomes.

Natera is an Equal Opportunity Employer committed to diversity and inclusion. We encourage applications from all qualified individuals. Please be aware of potential employment scams; Natera will only contact candidates from an @natera.com email domain.