Manager, Revenue Cycle (Post-Appeals)

Natera
$101,400 - $120,000Remote

About The Position

The Manager, Post Appeals will oversee the Unresponded team and lead the post-appeal response tracking function within Natera's Revenue Cycle Billing Operations. This role is responsible for overseeing a large remote team (offshore and onshore) focused on monitoring and driving resolution of appeals submitted to payers across all plan types. The Manager partners cross-functionally with Denials & Appeals, Technology, and operational leadership to determine solutions that will reduce backlog, maintain SLA compliance, and build scalable workflows that support the team's growing volume.

Requirements

  • Bachelor's Degree in a related field or equivalent experience required
  • Minimum 5 years of experience in managing large teams within billing, denials management, or revenue cycle operations within a laboratory or healthcare setting
  • Demonstrated experience managing large, remote or offshore teams
  • Strong knowledge of commercial and non-commercial payer plans, appeal processes, and post-appeal response workflows
  • Familiarity with multiple payer portals required; experience with AMD preferred
  • Experience working cross-functionally with technology or systems teams to drive operational workflow improvements
  • Deep understanding of the appeals lifecycle, including post-submission payer response tracking and resolution
  • Ability to analyze backlog data, identify trends, and translate findings into actionable operational strategies
  • Strong project management skills with the ability to manage competing priorities across a large team structure
  • Comfortable operating in a fast-paced, high-volume environment with evolving workflows and systems
  • Effective communicator across all levels — offshore reps, onshore leadership, and technology stakeholders
  • Proficiency in Microsoft Office (Word, Excel); experience with billing platforms and payer portals strongly preferred
  • Knowledge of PHI handling requirements; this role regularly accesses PHI in both paper and electronic form

Responsibilities

  • Oversee day-to-day operations of the Unresponded team, including an offshore team of 124+ reps with supporting leadership, and onshore Analysts and Supervisor.
  • Monitor and drive resolution of all post-appeal payer responses across commercial and non-commercial plans, ensuring timely follow-up and accurate disposition of outstanding appeals
  • Identify backlog drivers and develop strategies to reduce aging unresponded appeals and bring the team within SLA targets
  • Partner with technology and systems teams to define, prioritize, and implement workflow improvements
  • Collaborate closely with the Denials & Appeals teams to ensure errors identified within the unresponded scope are escalated, documented, and fed back into the broader process
  • Manage performance of direct and indirect reports through goal-setting, productivity monitoring, coaching, and ongoing development
  • Build and refine standard operating procedures and workflows to sustain SLA compliance as volume scales
  • Serves as liaison between offshore leadership and onshore Natera staff to ensure alignment on priorities, processes, and performance expectations
  • Performs other duties as assigned

Benefits

  • comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
  • free testing
  • fertility care benefits
  • pregnancy and baby bonding leave
  • 401k benefits
  • commuter benefits
  • generous employee referral program
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