Supervisor, Denials and Appeals

Summary

Join Natera as a Supervisor, Denials and Appeals, overseeing a team dedicated to insurance discovery, claims, and denial management. You will drive consistency and accuracy in third-party payor billing, improve claims processing, and enhance revenue recovery. Responsibilities include supervising team performance, providing feedback for evaluations, overseeing coverage processes, conducting training, and ensuring adherence to policies and procedures. You will also liaise with internal departments, act as an escalation point for concerns, and work cross-functionally to manage the entire process from verification to collection. The role requires a Bachelor's degree or equivalent experience, advanced Excel skills, and at least two years of supervisory experience in a related field. 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 or equivalent years of experience
• Advanced proficiency in Excel (pivot tables, VLOOKUPs, etc)
• Minimum of 2 years of directly related and progressively responsible Lead and/or supervisory experience
• Experience with insurance denials/appeals and claims management software

Responsibilities

• Supervise team by monitoring production and quality to specified goals
• Assists with feedback for hiring, discipline and performance evaluations
• Oversees the process of providing coverage within a high production environment
• Provides department orientation for all direct reports and coordinates training per job description
• Ensures that on-going training is provided for established employees, including the development & maintenance of standard operating procedures
• Liaisons with internal departments to promote ongoing communication and ensure accuracy
• Acts as an escalated level of response for concerns and complaints
• Assists staff with enforcing policy
• Works with cross functionally to manage the entire process from insurance verification to final collection
• Monitors and validates adherence to policies and procedures, auditing as necessary
• Completes projects and reports in a timely fashion on a daily, weekly or monthly basis per the direction of management
• Develops, monitors, coaches, and manages staff, ensuring the development of employees through orientation, training, establishing objectives, communication of rules, and constructive discipline
• Promotes a positive working environment through role modeling, team development, respect, and being fair and consistent

Preferred Qualifications

• Thorough knowledge of healthcare reimbursement environment (government and private payers) including coverage, coding and payment and understanding of insurance billing practices
• Demonstrated ability to develop and analyze payments, diagnose issues, and present findings to management
• Must be able to communicate effectively both orally and in writing. Strong interpersonal skills
• Strong organizational skills; attention to detail
• Ability to proficiently use computer and standard office equipment
• Working knowledge of Microsoft Office and PowerBI
• Experience with Google Enterprise Suite – Gmail, Slides, Sheets, Docs, Drive
• Knowledge of the claim life cycle, payer contracts and eligibility, and denial research
• Healthcare research and analysis skills sufficient to support payer research through healthcare policy library and state management

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!