Supervisor, Prior Authorizations

Summary

Join Natera, a leader in genetic testing, as a Supervisor, Prior Authorizations. You will lead a remote call center team providing exceptional support for prior authorization requests. Responsibilities include team management, operational oversight, process optimization, performance management, quality assurance, collaboration, issue resolution, and reporting. The ideal candidate possesses strong leadership skills, healthcare experience, and proficiency in medical insurance processes. Natera offers competitive benefits, including comprehensive medical, dental, vision, life, and disability plans, as well as free testing for employees and their families. This role offers the opportunity to contribute to a company dedicated to transforming healthcare.

Requirements

• Bachelor’s degree in healthcare administration, business, or a related field preferred, or equivalent work experience
• Minimum 3-5 years of experience in prior authorizations, insurance verification, or a related healthcare support role
• At least 1-2 years of supervisory or team leadership experience in a call center environment, preferably in healthcare
• Strong knowledge of medical insurance processes, prior authorizations, and reimbursement guidelines
• Excellent leadership and people management skills, with the ability to motivate and develop remote teams
• Proficient in manual reporting and data analysis through tools such as Excel, Gsheets and PowerBI
• Effective problem-solving and conflict-resolution abilities
• Proficiency in call center technology, CRM systems, and prior authorization platforms
• Strong communication skills, both written and verbal
• Ability to multitask, prioritize, and manage time effectively in a fast-paced environment

Responsibilities

• Manage and mentor a remote team handling prior authorization inquiries via phone and other communication channels. Provide guidance, training, and support to ensure excellent service delivery
• Monitor daily call center operations, ensuring timely and accurate responses to patient, provider, and payor inquiries regarding prior authorization requests
• Identify and implement improvements to streamline the prior authorization process, reducing turnaround times and enhancing efficiency
• Set performance goals, track key metrics, and provide regular feedback and coaching to team members
• Conduct audits and quality reviews to maintain compliance with company policies, insurance regulations, and industry standards
• Work cross-functionally with internal teams such as Revenue Cycle Management, Customer Service, and Insurance Verification to resolve issues and enhance workflows
• Address escalations from patients, providers, and insurance companies, ensuring prompt and effective resolutions
• Maintain accurate records of team performance, authorization requests, and customer interactions. Generate reports for leadership as needed

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
• A generous employee referral program