Supervisor, Denials and Appeals at Natera

, , United States -

Full Time

Start Date

Immediate

Expiry Date

03 Feb, 26

Salary

90000.0

Posted On

05 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Medical Billing, Coding, Payer Reimbursement Policies, Healthcare Compliance, Analytical Skills, Problem-Solving, Organizational Skills, Communication Skills, Interpersonal Skills, Team Leadership, Data Analysis, HIPAA Compliance, Excel, Power BI

Industry

Biotechnology Research

Description

About Natera: Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to transforming the management of genetic diseases through advanced technology, scientific excellence, and personalized care. Our mission is to change how the world diagnoses and treats disease and to improve outcomes for millions of patients. Position Summary: The Supervisor, Denials and Appeals is responsible for leading a team focused on resolving complex claim denials and managing insurance appeals. This includes reviewing and triaging denied claims, conducting root cause analysis to determine denial codes and reasoning, gathering payor intel and preparing and submitting appeals. This role is pivotal in driving efficiency and productivity of the team, ensuring accurate reimbursement, minimizing denials, and improving payer relationships through data-driven insights and strong leadership. The Supervisor will also be responsible for tracking and reporting on team productivity, root causes and denial trends, and implementing proactive solutions that enhance our revenue cycle performance. What You’ll Do: Lead and coach the Denials and Appeals team, ensuring productivity, accuracy, and compliance with payer requirements. Handle escalations of complex denied claims, gather payor intel, identify root causes, and utilize data to develop strategies to prevent recurring issues. Oversee the preparation and submission of well-documented appeals to maximize overturn success rates. Monitor payer trends and collaborate with internal teams to improve claim accuracy and billing processes. Track and report key performance metrics, including denial rates, appeal success rates, and turnaround times. Foster a culture of accountability, teamwork, and continuous improvement within the department. Ensure compliance with HIPAA, PHI, and all relevant billing and regulatory standards. Qualifications: Associate or bachelor’s degree in healthcare administration, Business, Finance, or related field (or equivalent years of relevant professional experience) 3+ years of revenue cycle experience, including 2+ years in a supervisory or team lead role overseeing a large team Knowledge of medical billing, coding (ICD-10, CPT, HCPCS), payer reimbursement policies, and healthcare compliance Proficient with revenue cycle systems (e.g., Epic, Cerner, Athenahealth, or similar EHRs) Strong analytical, problem-solving, and organizational skills (advanced proficiency in Excel and experience utilizing Power BI is strongly preferred) Excellent communication and interpersonal abilities Ability to manage multiple tasks and meet deadlines in a fast-paced environment Preferred Qualifications: Certification in Healthcare Revenue Cycle (e.g., CRCS, CRCP) Experience in laboratory billing Familiarity with government and commercial payer requirements Additional Information: This position requires regular access to Protected Health Information (PHI) and adherence to all privacy and security standards. #LI-AB1 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 $69,000—$90,000 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

Responsibilities

The Supervisor, Denials and Appeals leads a team focused on resolving complex claim denials and managing insurance appeals. This role involves reviewing denied claims, conducting root cause analysis, and preparing and submitting appeals to improve reimbursement and payer relationships.