Supervisor, Revenue Cycle - Prior Authorization

Natera; Austin (TX); Remote; USD 62,000 - 85,000; Full time

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

US Remote

Job Summary

The Supervisor, Prior Authorization is responsible for overseeing the daily operations and performance of teams supporting the Prior Authorization function within Natera's Billing Operations department. This position provides direct operational oversight of the Prior Authorization teams, including both domestic and offshore employees.

The Supervisor is responsible for ensuring timely and accurate resolution of prior authorization issues, managing team productivity and quality, monitoring payer requirements, and driving operational improvements that support authorization compliance and minimize reimbursement delays. This role partners closely with internal stakeholders and external teams to resolve escalated issues, identify process inefficiencies, and optimize prior authorization workflows.

Key Responsibilities

• Oversee the daily operations of teams responsible for the full Prior Authorization function (submissions, denials and appeals, etc.) ensuring efficient workflow management, timely case resolution, and adherence to departmental performance standards.
• Provide day-to-day leadership, coaching, and performance management for both domestic and offshore team members, ensuring consistency in processes, quality, and productivity across teams.
• Monitor team performance against established KPIs, including productivity, turnaround times, case resolution rates, quality, backlog management, and other operational metrics.
• Oversee the review, investigation, and resolution of prior authorization denials, including coordination of appeals, identification of denial trends, and implementation of corrective actions to reduce recurring issues.
• Ensure timely identification, investigation, and resolution of prior authorization discrepancies, mismatches, and other authorization-related issues that may impact claim processing or reimbursement.
• Monitor work queues, case volumes, and aging inventory to ensure appropriate workload distribution, timely follow-up, and resolution of outstanding authorization cases.
• Serve as an escalation point for complex prior authorization issues, payer disputes, authorization discrepancies, and other operational challenges requiring additional investigation or cross-functional coordination.
• Collaborate with internal teams, including Billing, Insurance Verification, Denials & Appeals, and other Revenue Cycle functions, to resolve authorization-related issues and improve end-to-end billing workflows.
• Partner with offshore team leads and operational stakeholders to ensure alignment on workflows, performance expectations, training, quality standards, and escalation procedures.
• Identify trends and root causes contributing to prior authorization denials, authorization mismatches, processing delays, and other operational inefficiencies; recommend and implement process improvements.
• Ensure team adherence to payer-specific authorization requirements, internal policies and procedures, documentation standards, and applicable healthcare regulations.
• Conduct regular quality reviews and audits to ensure accuracy, completeness, and compliance with established prior authorization processes and payer guidelines.
• Prepare, analyze, and communicate operational performance reports, identifying trends, areas of concern, and opportunities to improve team efficiency and authorization outcomes.
• Support the development, implementation, and maintenance of standardized workflows, training materials, and standard operating procedures (SOPs) across assigned teams.
• Participate in hiring, onboarding, training, employee development, and performance evaluations to build and maintain a high-performing team.
• Foster a collaborative, accountable, and continuous-improvement-focused team environment that supports operational excellence and departmental objectives.

Qualifications

• Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent professional experience.
• 3+ years of healthcare revenue cycle experience, with demonstrated experience in prior authorization, insurance verification, authorization denials, appeals, or related payer authorization processes.
• 1+ year of experience in a supervisory, team lead, or comparable leadership role.
• Strong understanding of prior authorization workflows, payer authorization requirements, denial and appeal processes, and the relationship between authorization activities, claims processing, and reimbursement.
• Working knowledge of commercial and government payer policies, medical necessity requirements, and healthcare billing practices.
• Experience monitoring operational KPIs, managing work queues, identifying performance trends, and implementing process improvements.
• Strong analytical, organizational, and problem-solving skills, with the ability to investigate complex issues and develop actionable solutions.
• Excellent communication and interpersonal skills, with demonstrated ability to collaborate across departments and provide effective coaching and feedback.
• Ability to manage competing priorities, meet deadlines, and lead teams in a fast-paced, high-volume operational environment.

Preferred Qualifications

• Experience supervising prior authorization teams or related revenue cycle functions in a high-volume healthcare, diagnostic laboratory, or specialty testing environment.
• Experience overseeing geographically distributed teams, including offshore or outsourced operational teams.
• Familiarity with prior authorization requirements and payer policies specific to diagnostic testing, molecular diagnostics, or genetic testing.
• Proficiency with revenue cycle management systems, payer portals, reporting tools, and Microsoft Excel.
• Experience developing and implementing process improvements, standardized workflows, and quality assurance initiatives.
• Healthcare revenue cycle certification (e.g., CRCS, CRCP) or related professional certification.

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

Remote USA

$62,200 - $85,000 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

• Competitive 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!

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents.

Natera will reach out to candidates with a @ natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Natera’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

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An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.