The opportunity
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…
What you'll do
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.
What they're looking for
- Associate's or Bachelor's degree in Healthcare Administration, Business,: Finance, or a related field, or equivalent professional experience.
- + years of healthcare revenue cycle experience, with demonstrated experience: in prior authorization, insurance verification, authorization denials, appeals, or related payer authorization processes.
- + 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.
