Supervisor, Prior Authorizations

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $69.2k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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 daily operations of the Prior Authorization Denials & Appeals, PA360, and PA Mismatch teams • Provide leadership, coaching, and performance management for domestic and offshore team members • Monitor KPIs including productivity, turnaround times, case resolution rates, quality, and backlog management • Oversee investigation and resolution of prior authorization denials, appeals, discrepancies, and mismatches • Monitor work queues, case volumes, and aging inventory • Serve as an escalation point for complex authorization issues and payer disputes • Collaborate with Billing, Insurance Verification, Denials & Appeals, and other Revenue Cycle teams • Partner with offshore team leads and operational stakeholders on workflows, training, quality, and escalations • Identify root causes and implement process improvements • Ensure adherence to payer requirements, internal policies, documentation standards, and healthcare regulations • Conduct quality reviews and audits • Prepare, analyze, and communicate operational performance reports • Support standardized workflows, training materials, and SOPs • Participate in hiring, onboarding, training, employee development, and performance evaluations • Foster a collaborative, accountable, continuous-improvement-focused team environment

🎯 Requirements

• Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent professional experience • 3+ years of healthcare revenue cycle experience, including prior authorization, insurance verification, authorization denials, appeals, or related payer authorization processes • 1+ year of experience in a supervisory, team lead, or comparable leadership role • Strong understanding of prior authorization workflows, payer authorization requirements, denial and appeal processes, and the relationship between authorization activities, claims processing, and reimbursement • Working knowledge of commercial and government payer policies, medical necessity requirements, and healthcare billing practices • Experience monitoring operational KPIs, managing work queues, identifying performance trends, and implementing process improvements • Strong analytical, organizational, and problem-solving skills • Excellent communication and interpersonal skills, including coaching and feedback • Ability to manage competing priorities, meet deadlines, and lead teams in a fast-paced, high-volume operational environment • Experience supervising prior authorization teams or related revenue cycle functions in a high-volume healthcare, diagnostic laboratory, or specialty testing environment • Experience overseeing geographically distributed teams, including offshore or outsourced operational teams • Familiarity with prior authorization requirements and payer policies specific to diagnostic testing, molecular diagnostics, or genetic testing • Experience managing prior authorization denials, appeals, authorization discrepancies, or payer-related escalations • Proficiency with revenue cycle management systems, payer portals, reporting tools, and Microsoft Excel • Experience developing and implementing process improvements, standardized workflows, and quality assurance initiatives • Healthcare revenue cycle certification (e.g., CRCS, CRCP) or related professional certification

🏖️ Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their 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