Supervisor, Revenue Cycle - Prior Authorization

Natera

3d • $62,200 - $85,000 • Remote

About The Position

The Supervisor, Prior Authorization oversees the daily operations and performance of teams supporting the Prior Authorization function within Natera’s Billing Operations department, including domestic and offshore employees. The role ensures timely and accurate resolution of authorization issues, manages team productivity and quality, monitors payer requirements, and drives operational improvements that support authorization compliance and minimize reimbursement delays.

The Supervisor provides day-to-day team leadership and coaching, manages operational performance and work queues, resolves escalated authorization issues, and works with internal stakeholders and external teams to improve workflows. The role also supports hiring, onboarding, training, employee development, performance evaluations, quality reviews, reporting, and the maintenance of standardized procedures.

Requirements

• Associate’s or bachelor’s degree in Healthcare Administration, Business, Finance, or a related field, or equivalent professional experience.
• At least 3 years of healthcare revenue cycle experience, including prior authorization, insurance verification, authorization denials, appeals, or related payer authorization processes.
• At least 1 year of supervisory, team lead, or comparable leadership experience.
• 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, including the ability to investigate complex issues and develop actionable solutions.
• Excellent communication and interpersonal skills, including the ability to collaborate across departments and provide coaching and feedback.
• Ability to manage competing priorities, meet deadlines, and lead teams in a fast-paced, high-volume operational environment.

Nice To Haves

• 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 teams.
• Familiarity with prior authorization requirements and payer policies specific to diagnostic testing, molecular diagnostics, or genetic testing.
• Experience managing prior authorization denials, appeals, authorization discrepancies, or payer-related escalations.
• 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.

Responsibilities

• Oversee daily operations for the full Prior Authorization function, including submissions, denials, and appeals, ensuring efficient workflows, timely case resolution, and adherence to performance standards.
• Provide day-to-day leadership, coaching, and performance management for domestic and offshore team members.
• Monitor KPIs, including productivity, turnaround times, case resolution rates, quality, and backlog management.
• Oversee investigation and resolution of prior authorization denials, coordinate appeals, identify denial trends, and implement corrective actions.
• Ensure timely investigation and resolution of authorization discrepancies, mismatches, and other issues that could affect claims processing or reimbursement.
• Monitor work queues, case volumes, and aging inventory to ensure appropriate workload distribution and follow-up.
• Serve as an escalation point for complex authorization issues, payer disputes, discrepancies, and operational challenges requiring investigation or cross-functional coordination.
• Collaborate with Billing, Insurance Verification, Denials & Appeals, and other Revenue Cycle teams to resolve authorization issues and improve billing workflows.
• Partner with offshore team leads and operational stakeholders to align workflows, performance expectations, training, quality standards, and escalation procedures.
• Identify trends and root causes behind denials, mismatches, processing delays, and operational inefficiencies; recommend and implement process improvements.
• Ensure adherence to payer-specific authorization requirements, internal policies and procedures, documentation standards, and applicable healthcare regulations.
• Conduct quality reviews and audits to confirm accuracy, completeness, and compliance with authorization processes and payer guidelines.
• Prepare, analyze, and communicate performance reports, identifying trends, concerns, and opportunities to improve efficiency and outcomes.
• Support the development, implementation, and maintenance of standardized workflows, training materials, and standard operating procedures.
• Participate in hiring, onboarding, training, employee development, and performance evaluations.
• Foster a collaborative, accountable, and continuous-improvement-focused team environment.

Benefits

• Comprehensive medical, dental, vision, life, and disability plans for eligible employees and their dependents.
• Free testing for employees and their immediate families.
• Fertility care benefits.
• Pregnancy and baby bonding leave.
• 401(k) benefits.
• Commuter benefits.
• Employee referral program.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree