Adaptive Biotechnologies Corp. · 6 hours ago
Manager, Insurance Operations
United States
Full-time
Remote
Mid, Senior Level
$102K/yr - $152K/yr
8+ years expAdaptive Biotechnologies is focused on transforming the way diseases are diagnosed and treated through the power of the adaptive immune system. The Manager of Insurance Operations is responsible for overseeing payer denials, underpaid claims, and insurance follow-up processes to ensure efficient reimbursement operations and team performance.
BiotechnologyHealth CareTherapeutics
No H1B
Responsibilities
Oversee workflows for contracted payer denials and underpaid claims
Develop and implement strategies to reduce denials and recover underpayments
Monitor denial trends and collaborate with internal teams to address root causes
Collaborate with payer relations and contracting teams for denial trends
Manage insurance follow-up queues to ensure timely and accurate responses to payer requests
Establish performance metrics and monitor team productivity for follow-up activities
Serve as an escalation point for complex payer issues
Oversee negotiation and execution of Letters of Agreement and Single Case Agreements with non-contracted payers
Ensure agreements are documented, compliant, and aligned with organizational reimbursement goals
Manage and mentor team responsible for denials, underpayments, and payer follow-up
Provide training and guidance to ensure adherence to policies and best practices
Foster a culture of accountability, collaboration, and continuous improvement
Prepare and analyze reports on denial rates, recovery performance, and payer trends
Present findings and recommendations to senior leadership for process optimization
All other duties as assigned
Qualification
Required
Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience)
8+ years of experience in reimbursement operations, revenue cycle management, or payer relations
Strong knowledge of insurance billing, payer contracts, and reimbursement methodologies
Proven leadership experience with the ability to manage teams and drive performance
Excellent communication, negotiation, and problem-solving skills
Proficiency in revenue cycle systems (Quadax preferred) and Microsoft Office Suite
Preferred
Experience with LOA/SCA negotiations
Familiarity with denial management tools and payer portals
Analytical mindset with the ability to interpret complex data and trends
Benefits
Equity grant
Bonus eligible
Company
Adaptive Biotechnologies Corp.
Adaptive Biotechnologies is a pioneer and leader in immune-driven medicine that aims to improve people’s lives by learning from the wisdom of their adaptive immune systems.
501-1000 employees
Funding
Current Stage
Public CompanyTotal Funding
$531.85MKey Investors
OrbiMedARK Investment ManagementMatrix Capital Management
2022-09-12Post Ipo Debt· $125M
2022-03-24Post Ipo Equity
2020-07-14Post Ipo Equity
Leadership Team
Chad Robins
CEO & Co-Founder
Harlan Robins
co-founder and chief Scientific Officer
Recent News
Company data provided by crunchbase