Supervisor, Prior Authorizations
Natera
Summary
Join Natera, a global leader in cell-free DNA testing, as a Supervisor. You will supervise a team, monitor production and quality, provide feedback on performance, and oversee coverage in a production environment. Responsibilities include training staff, liaising with internal departments, and managing the insurance verification to final collection process. You will also monitor adherence to policies and procedures, complete reports, and develop and manage staff. This role requires a Bachelor's degree or equivalent experience, minimum 2 years of relevant experience, and lead/supervisory experience. Natera offers competitive benefits including comprehensive medical, dental, vision, life and disability plans, free testing for employees and their families, fertility care benefits, and more.
Requirements
- Bachelorβs degree or equivalent experience
- Minimum of 2 years directly related and progressively responsible experience
- Lead and/or supervisory experience
- Experience with insurance claims submission and management software
- Thorough knowledge of healthcare reimbursement (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 a computer and standard office equipment
- Working knowledge of Microsoft Office
- Knowledge of payer eligibility and benefits. Health care research and analysis skills sufficient to support payer research healthcare policy library and state management
- Conflict resolution skills. Must be able to resolve employee issues effectively and efficiently
Responsibilities
- Supervise team including monitoring production and quality to specified goals
- Assists with feedback for hiring, discipline and performance evaluations
- Oversees the process of providing coverage in a 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 functional teams to manage the entire process from insurance verification to final collection of prior authorization
- 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
- Degree in business administration, accountancy, sales, marketing, or similar preferred
- Previous experience with Google Enterprise Suite β Gmail, Slides, Sheets, Docs, Drive
Benefits
- 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
- Pregnancy and baby bonding leave
- 401k benefits
- Commuter benefits
- Generous employee referral program