Claims Management Analyst

Position Summary

The Claims Management Analyst is responsible for overseeing the follow-up and resolution of insurance claims. This individual acts as the primary point of contact for internal teams and external partners regarding insurance claims, drives performance improvements in claim correction and resubmission, and ensures processes and systems are optimized to reduce rejection rates and support timely reimbursement. This role plays a key leadership function in identifying trends, managing high-priority accounts, and supporting the organization’s financial objectives.

Essential Job Responsibilities

• Serve as the subject matter expert on rejections, providing support, oversight, and leadership on related processes and systems.
• Analyze trends and patterns in claim management to identify root causes and process improvement opportunities.
• Ensure claims workflows and follow-up processes are appropriately configured to correct and resubmit rejected claims in a timely and accurate manner.
• Build and maintain strong working relationships with internal departments and external vendors to enhance claims management effectiveness.
• Oversee day-to-day rejection follow-up activities to ensure timely corrections, resubmissions, and escalation of aging or high-priority rejections.
• Monitor key performance indicators and claim resolution metrics; ensure departmental goals related to claims are met.
• Lead weekly team meetings to review claims management metrics, workflow challenges, and improvement initiatives.
• Audit payer contracts, service setups, and configuration changes to ensure proper alignment with claim management procedures.
• Coordinate with leadership to communicate rejection trends, denial patterns, payer issues, and process updates.
• Develop goals and performance indicators that align claim management efforts with broader organizational strategy.
• Manage and monitor project plans related to claim resolution initiatives and ensure successful execution.
• Act as an educator to team members and stakeholders regarding best practices and improvement strategies for handling claims management.
• Identify and recommend tools or technologies to enhance claim tracking, rejection resolution, and reporting.
• Lead resolution of escalated, high-value, or problematic rejections and develop action plans to address recurring payer challenges.
• Actively participate in day-to-day claim follow-up work as needed to support team performance and ensure timely resolution of rejected claims.
• Additional responsibilities as determined by business needs.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, or a related field; or equivalent combination of education and experience.
• Minimum 4–6 years of experience in medical billing, insurance follow-up, or claims resolution roles.
• In-depth understanding of end to end insurance claims processing workflows

Required Knowledge, Skills, And Abilities

• Willingness to actively engage in hands-on claim resolution work when necessary to meet department goals and support team workload.
• Proficiency in medical billing systems
• Intermediate skills in Microsoft Excel (pivot tables, VLOOKUPs)
• Working knowledge of medical terminology and procedure codes.
• Excellent communication skills – both verbal and written.
• Strong organizational and time management skills; ability to manage multiple priorities.
• Analytical mindset with the ability to identify trends and propose solutions.
• Ability to solve complex problems independently and exercise critical thinking.
• Ability to maintain confidentiality of sensitive patient and business information.
• Ability to motivate and create a team environment, prioritize work distribution, exceptional organizational and time management skills.
• Requires advanced project management skills, must be able to manage multiple projects.

Working Conditions

This role requires the ability to work fully remote within standard business hours.Occasional extended hours may be required to meet deadlines or resolve urgent rejection-related issues.

Physical Requirements

Must be able to work at a computer for extended periods and communicate effectively via phone, email, and video conferencing.

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

$59,900—$74,900 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