Supervisor, Insurance Billing

Summary

Join Natera as a Supervisor, Insurance Billing and lead a team in optimizing insurance claim submissions, reducing rejections and denials, and ensuring timely filing. This role blends production oversight (claims, clean submissions) with project work (timely filing, workflow improvements). You will supervise and mentor a team, monitor denial reduction and claim rejection resolution, and coordinate onshore and offshore teams. Responsibilities include developing strategies for timely filing and reducing denials, overseeing appeals, implementing new processes, and monitoring Explanation of Benefits (EOBs). You will also generate reports, track performance metrics, identify process inefficiencies, and lead initiatives for workflow improvements. The ideal candidate possesses extensive experience in claims management, denials, appeals, and revenue cycle processes.

Requirements

• 5+ years of experience in medical insurance billing, claims submissions, and revenue cycle management
• 3+ years of leadership/supervisory experience in a high-volume billing environment
• Strong experience with claims, denials, rejections, and appeals
• Familiarity with payer-specific requirements and claim submission processes
• Advanced Excel skills (pivot tables, formulas, data analysis, reporting)
• Proficiency in AdvanceMD or similar billing platforms
• Strong understanding of payer claim requirements, reimbursement processes, and revenue cycle workflows
• Experience implementing new billing workflows and process improvements
• Knowledge of HIPAA, CMS regulations, and insurance billing compliance standards
• Strong leadership and team management skills
• Analytical mindset with experience in data-driven decision-making
• Ability to coordinate cross-functional teams (onshore & offshore)
• Excellent problem-solving and communication skills
• High attention to detail with a commitment to accuracy and compliance

Responsibilities

• Supervise and mentor a growing team of 6-15 Insurance Billing Specialists
• Ensure timely claim submissions and a high percentage of clean claims upon first submission
• Monitor and drive efficiency in denial reduction, timely filing, and claim rejection resolution
• Balance production-based tasks (rejections, clean claims) with results-driven goals (timely filing, workflow improvements)
• Coordinate efforts between onshore and offshore teams to optimize billing workflows
• Conduct performance reviews, provide coaching, and identify training opportunities
• Develop and execute strategies for timely filing and reducing denials and rejections
• Oversee appeals and dispute resolution to maximize insurance reimbursement
• Implement new processes to improve payer-specific claim submissions
• Monitor Explanation of Benefits (EOBs) to analyze trends and improve billing accuracy
• Ensure compliance with payer claim requirements and revenue cycle best practices
• Generate reports, track performance metrics, and identify process inefficiencies
• Lead initiatives to create and implement new workflows and operational improvements
• Work with IT and Revenue Cycle teams to integrate API/HL7 functionalities
• Analyze claim rejection trends and develop corrective action plans
• Stay up to date with payer guidelines, industry regulations, and best practices in insurance billing

Preferred Qualifications

Experience in API/HL7 integrations for billing process improvements is a plus

Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• Free testing in addition to fertility care benefits
• Pregnancy and baby bonding leave
• 401k benefits
• Commuter benefits
• A generous employee referral program