Remote Prior Authorization Supervisor, Revenue Cycle

Natera

Austin (TX)

Remote

USD 62,000 - 85,000

Full time

3 days ago
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Benefits offered by this job

Medical benefits
Dental/Vision benefits
401k benefits
Employee referral program
Fertility care benefits

Job summary

Natera is seeking a Supervisor, Prior Authorization to oversee daily operations of our Prior Authorization teams, including domestic and offshore staff. You will drive timely, accurate resolutions, monitor KPIs, and partner with Billing, Verification, Denials & Appeals, and other Revenue Cycle functions.

Lead, coach, and develop teams in a fast-paced environment to optimize authorization workflows and reduce reimbursement delays, while ensuring compliance with payer guidelines.

Qualifications

  • Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or related field, or equivalent experience.
  • 3+ years of healthcare revenue cycle experience with prior authorization, insurance verification, denials or appeals.
  • 1+ year in a supervisory or team-lead role.
  • Strong understanding of prior authorization workflows and payer requirements.
  • Familiarity with commercial and government payer policies and medical necessity.

Responsibilities

  • Oversee daily operations of Prior Authorization teams (submissions, denials, appeals) and ensure efficient workflow.
  • Lead domestic and offshore team members with coaching and performance management.
  • Monitor KPIs: productivity, turnaround times, case resolution, quality, backlog.
  • Review denials, coordinate appeals, and implement corrective actions to reduce recurrence.
  • Resolve authorization discrepancies impacting claim processing or reimbursement.
  • Manage workload distribution, queues, and aging inventory; ensure timely follow-up.
  • Escalate complex issues and coordinate with cross-functional teams.
  • Collaborate with Billing, Insurance Verification, Denials & Appeals, and Revenue Cycle functions.
  • Align offshore team leads with workflows, training, and escalation procedures.
  • Identify trends and root causes; implement process improvements.
  • Ensure adherence to payer requirements, policies, documentation standards, and regulations.
  • Conduct quality reviews and audits for accuracy and compliance.
  • Prepare performance reports and communicate trends and opportunities.
  • Develop and maintain SOPs and standardized workflows; support training materials.
  • Participate in hiring, onboarding, and performance evaluations to build a high-performing team.
  • Foster a collaborative, accountable, continuous-improvement environment.

Skills

Leadership
Coaching
Analytical thinking
Problem solving
Communication

Education

Bachelor's degree
Healthcare administration

Tools

Microsoft Excel

Job description

Natera is seeking a Supervisor, Prior Authorization to oversee daily operations of our Prior Authorization teams, including domestic and offshore staff. You will drive timely, accurate resolutions, monitor KPIs, and partner with Billing, Verification, Denials & Appeals, and other Revenue Cycle functions.

Lead, coach, and develop teams in a fast-paced environment to optimize authorization workflows and reduce reimbursement delays, while ensuring compliance with payer guidelines.

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