Natera
Manager, Denials and Appeals
Job Summary
The Manager of Denials and Appeals oversees the management and resolution of claim denials within the revenue cycle, leading a team of specialists to optimize reimbursement processes. The role requires strong knowledge of medical billing, coding, and payer reimbursement policies, along with excellent analytical and leadership skills. Responsibilities include developing best practices, collaborating with cross-functional teams, and ensuring compliance with regulatory standards. The position focuses on improving denial management efficiency and supporting high-quality diagnostic services in a fast-paced healthcare environment.
Required Skills
Benefits
Job Description
About Natera:
Natera is a global leader in cell-free DNA (cfDNA) testing, committed to transforming how we diagnose and manage genetic diseases. Our proprietary technology platform powers a range of testing applications across oncology, women’s health, and organ health. With a focus on innovation, scientific excellence, and personalized care, Natera aims to make personalized genetic testing and diagnostics accessible to everyone. Our team is driven by a mission to change the management of disease worldwide and improve outcomes for millions of patients.
Position Summary:
The Manager, Denials and Appeals is responsible for leading and optimizing the denials management and appeals operations within the revenue cycle function. This role ensures the timely and accurate resolution of claim denials, drives root cause analysis, and develops strategies to minimize future denials. The Manager will lead a team of specialists and collaborate cross-functionally to maximize reimbursement and support Natera’s mission in delivering high-quality diagnostic services.
Key Responsibilities:
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Lead and supervise the day-to-day operations of the denials and appeals team, ensuring productivity and quality standards are met.
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Develop and implement best practices for denial prevention, management, and appeals submission.
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Collaborate with billing, eligibility, and insurance verification teams to streamline end-to-end revenue processes.
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Analyze denial trends, reimbursement issues, and payer behaviors; develop mitigation strategies and process improvements.
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Oversee training, coaching, and performance management of denial and appeals staff; foster a positive team culture.
#LI-AB1
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Serve as a liaison with internal stakeholders to support revenue cycle initiatives and system enhancements.
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Ensure timely and accurate submission of appeals and resolution of denied claims in compliance with payer requirements.
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Maintain up-to-date knowledge of billing, coding, and compliance regulations, especially within a laboratory setting.
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Monitor team performance metrics and KPIs; report outcomes and implement corrective actions as needed.
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Audit processes for adherence to internal policies and regulatory guidelines; drive continuous improvement.
Qualifications:
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Bachelor’s degree in healthcare administration, business, or a related field (or equivalent experience).
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Minimum 5 years of experience managing denials and appeals in a high-volume, fast-paced billing environment—laboratory setting preferred.
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Proven ability to lead and motivate large teams effectively.
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Strong knowledge of medical billing, coding, payer reimbursement policies, and compliance regulations.
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Excellent analytical, organizational, and communication skills.
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Experience with billing systems and proficiency in interpreting and managing data.
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Knowledge of HIPAA regulations and experience handling PHI in accordance with compliance standards.
Additional Information:
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This position requires regular access to Protected Health Information (PHI) and compliance with all applicable privacy and security standards.
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Experience with revenue cycle technology platforms and EHR systems preferred.
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!
For more information, visit www.natera.com.
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.
Link: https://www.natera.com/notice-of-data-collection-california-residents/
Please be advised that 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.
For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page
Natera
Dedicated to oncology, women’s health, and organ health. Natera’s cell-free DNA tests help protect health and inform more personalized decisions about care.
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