Manager, Denials and Appeals

Summary

Join Natera as the Manager, Denials and Appeals, leading and optimizing denials management and appeals operations within the revenue cycle. You will ensure timely resolution of claim denials, conduct root cause analysis, and develop strategies for minimizing future denials. This role involves leading a team of specialists, collaborating cross-functionally, maximizing reimbursement, and supporting Natera's mission of high-quality diagnostic services. You will develop and implement best practices, analyze denial trends, and oversee team training and performance management. The position requires strong leadership, analytical, and communication skills, along with expertise in medical billing, coding, and compliance regulations. Natera offers competitive benefits, including comprehensive medical, dental, vision, life, and disability plans, as well as free testing for employees and their families.

Requirements

• Bachelor’s degree in healthcare administration, business, or a related field (or equivalent experience)
• Minimum 5 years of experience managing denials and appeals in a high-volume, fast-paced billing environment—laboratory setting preferred
• Proven ability to lead and motivate large teams effectively
• Strong knowledge of medical billing, coding, payer reimbursement policies, and compliance regulations
• Excellent analytical, organizational, and communication skills
• Experience with billing systems and proficiency in interpreting and managing data
• Knowledge of HIPAA regulations and experience handling PHI in accordance with compliance standards

Responsibilities

• Lead and supervise the day-to-day operations of the denials and appeals team, ensuring productivity and quality standards are met
• Develop and implement best practices for denial prevention, management, and appeals submission
• Collaborate with billing, eligibility, and insurance verification teams to streamline end-to-end revenue processes
• Analyze denial trends, reimbursement issues, and payer behaviors; develop mitigation strategies and process improvements
• Oversee training, coaching, and performance management of denial and appeals staff; foster a positive team culture
• Serve as a liaison with internal stakeholders to support revenue cycle initiatives and system enhancements
• Ensure timely and accurate submission of appeals and resolution of denied claims in compliance with payer requirements
• Maintain up-to-date knowledge of billing, coding, and compliance regulations, especially within a laboratory setting
• Monitor team performance metrics and KPIs; report outcomes and implement corrective actions as needed
• Audit processes for adherence to internal policies and regulatory guidelines; drive continuous improvement

Preferred Qualifications

Experience with revenue cycle technology platforms and EHR systems preferred

Benefits

• Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• 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!