Clinical Reimbursement Assistant (Fully Remote)

Natera; United States; Remote; USD 42,000 - 64,000; Full time

Job summary

Natera, a global leader in cell-free DNA testing, is seeking a Medical Records Coordinator in the United States to support genetic testing cases by reviewing records and coordinating documentation.

You will interact with Genetic Counselors, Prior Authorization, Billing, and Appeals teams, ensuring timely completion of documentation packets while maintaining HIPAA-compliant records and driving efficient case workflows.

Qualifications

• HIPAA/PHI compliance knowledge
• Ability to coordinate across multiple teams and systems
• Detail-oriented with strong documentation practices

Responsibilities

• Review medical records to identify relevant clinical information to support genetic testing cases.
• Flag missing or incomplete documentation for follow-up and assemble documentation packets for prior authorization, claims, or appeals.
• Maintain accurate case documentation within internal systems.
• Send and track medical record requests and monitor case pipelines to ensure required documentation is received.
• Update internal systems to reflect record status and next steps, and meet defined daily/weekly task metrics.
• Support provider and patient outreach initiatives related to documentation or required forms, and assist with tracking outreach efforts and responses.
• Contribute to internal projects focused on operational improvement and workflow efficiency.
• Collaborate with Genetic Counselors, Prior Authorization, Billing, and Appeals teams, and participate in team meetings and process improvement initiatives.
• Maintain accurate documentation and compliance with HIPAA/PHI standards.

Job description

• Request and review medical records to identify relevant clinical information (e.g., personal and family history) to support genetic testing cases.
• Flag missing or incomplete documentation for follow-up and assemble documentation packets for prior authorization, claims, or appeals.
• Maintain accurate case documentation within internal systems.

Medical Records Coordination:

• Send and track medical record requests and monitor case pipelines to ensure required documentation is received.
• Update internal systems to reflect record status and next steps, and meet defined daily/weekly task metrics.
• Support provider and patient outreach initiatives related to documentation or required forms, and assist with tracking outreach efforts and responses.
• Contribute to internal projects focused on operational improvement and workflow efficiency.
• Collaborate with Genetic Counselors, Prior Authorization, Billing, and Appeals teams, and participate in team meetings and process improvement initiatives.
• Maintain accurate documentation and compliance with HIPAA/PHI standards.

Natera

Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company employs highly dedicated professionals from world-class institutions and is committed to a diverse and inclusive workplace.