Manager, Revenue Cycle – Post-Appeals

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $101.4k - $120k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

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Natera

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2004

🏥 Healthcare

🧬 Biotechnology

⚕️ Healthcare Insurance

Healthcare • Biotechnology • Healthcare Insurance

Natera is a global leader in cell-free DNA testing technology, specializing in non-invasive genetic testing and diagnostics. The company's innovative solutions focus on areas such as prenatal screening, cancer detection, and organ transplant monitoring. By using advanced bioinformatics and DNA analysis, Natera provides healthcare professionals and patients with critical information to make more informed medical decisions.

📋 Description

• Oversee day-to-day operations of the Unresponded team, including an offshore team of 124+ representatives with supporting leadership and onshore Analysts and Supervisor • Monitor and drive resolution of post-appeal payer responses across commercial and non-commercial plans • Ensure timely follow-up and accurate disposition of outstanding appeals • Identify backlog drivers and develop strategies to reduce aging unresponded appeals and meet SLA targets • Partner with technology and systems teams to define, prioritize, and implement workflow improvements • Collaborate with Denials & Appeals teams to escalate, document, and feed identified errors back into the broader process • Manage direct and indirect report performance through goal-setting, productivity monitoring, coaching, and ongoing development • Build and refine standard operating procedures and workflows to sustain SLA compliance as volume scales • Serve as liaison between offshore leadership and onshore Natera staff • Perform other duties as assigned

🎯 Requirements

• Bachelor's Degree in a related field or equivalent experience required • Minimum 5 years of experience managing large teams within billing, denials management, or revenue cycle operations in a laboratory or healthcare setting • Experience managing large, remote or offshore teams • Strong knowledge of commercial and non-commercial payer plans, appeal processes, and post-appeal response workflows • Familiarity with multiple payer portals required; experience with AMD preferred • Experience working cross-functionally with technology or systems teams to drive operational workflow improvements • Deep understanding of the appeals lifecycle, including post-submission payer response tracking and resolution • Ability to analyze backlog data, identify trends, and translate findings into actionable operational strategies • Strong project management skills • Ability to operate in a fast-paced, high-volume environment with evolving workflows and systems • Effective communication across offshore representatives, onshore leadership, and technology stakeholders • Proficiency in Microsoft Office (Word, Excel); experience with billing platforms and payer portals strongly preferred • Knowledge of PHI handling requirements

🏖️ Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and dependents • Free testing for employees and their immediate families • Fertility care benefits • Pregnancy and baby bonding leave • 401(k) benefits • Commuter benefits • Employee referral program