[Remote] Supervisor, Denials and Appeals at Natera

United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, BiotechnologyIndustries

Requirements

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

Responsibilities

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

Skills

Key technologies and capabilities for this role

Denials ManagementAppeals ProcessingRoot Cause AnalysisPayer IntelligenceRevenue Cycle ManagementHIPAA CompliancePHI HandlingTeam LeadershipPerformance MetricsData AnalysisBilling ProcessesClaim Triage

Questions & Answers

Common questions about this position

What qualifications are required for the Supervisor, Denials and Appeals role?

Candidates need an Associate or Bachelor’s degree in healthcare administration, Business, Finance, or related field (or equivalent experience), 3+ years of revenue cycle experience including 2+ years in a supervisory role, knowledge of medical billing and coding (ICD-10, CPT, HCPCS), proficiency with revenue cycle systems like Epic or Athenahealth, and strong analytical, problem-solving, organizational, communication, and interpersonal skills.

What is the salary or compensation for this position?

This information is not specified in the job description.

Is this a remote position, or is there a location requirement?

This information is not specified in the job description.

What does the company culture emphasize for this role?

The role emphasizes fostering a culture of accountability, teamwork, and continuous improvement within the department.

What makes a strong candidate for this Supervisor role?

Strong candidates will have supervisory experience in revenue cycle, knowledge of medical coding and payer policies, proficiency in systems like Epic, and preferred certifications like CRCS or experience in laboratory billing.

Natera

Genetic testing and diagnostics solutions provider

About Natera

Natera focuses on genetic testing and diagnostics, providing advanced solutions for cancer patients, transplant patients, and individuals assessing hereditary health risks. Their main technology is cell-free DNA (cfDNA) testing, which analyzes DNA fragments in the blood to detect minimal traces of cancer and assess organ health. Natera stands out by offering specialized tests like the Signatera ctDNA test and Panorama NIPT, along with genetic counseling services. The company's goal is to improve patient care and health outcomes through accurate genetic testing.

Austin, TexasHeadquarters

2004Year Founded

$149.9MTotal Funding

IPOCompany Stage

Biotechnology, HealthcareIndustries

1,001-5,000Employees

Benefits

Flexible medical plans

Investment options

Time off

Workplace perks

Risks

Hindenburg report accuses Natera of deceptive sales practices, risking legal challenges.

New Prospera Heart features may face slow adoption by healthcare providers.

Fetal RhD NIPT demand may drop post-RhIg shortage, affecting future sales.

Differentiation

Natera's Signatera test offers personalized ctDNA analysis for cancer patients.

Prospera Heart test uses unique Donor Quantity Score for transplant rejection detection.

Panorama NIPT test is a leader in non-invasive prenatal testing with 2 million tests.

Upsides

Increased adoption of liquid biopsy techniques boosts demand for Natera's cfDNA tests.

AI integration enhances accuracy and speed of Natera's cfDNA analysis.

Growing personalized medicine trend aligns with Natera's customized genetic tests.

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