81 applicants

Company

Natera · 3 hours ago

Manager, Denials and Appeals

US Remote

Full-time

Remote

Mid, Senior Level

$95K/yr - $119K/yr

5+ years exp

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Responsibilities

Experience with managing large teams, including supervision of staff of a denials management department.

Experience with directing self and others in areas of responsibility such as research, appeals and payment posting.

Assists with feedback for hiring, discipline and performance evaluations.

Provides department orientation and ongoing training for all in/direct reports.

Liaison with internal departments to promote ongoing communication, and collaboration on cross functional projects related to denials management.

Analyzes reimbursement from all sources, including carrier reimbursement exception reporting and follow up pending claims analysis and denials management.

Represent organizational projects and assist management with follow-through and implementation of initiatives.

Manage all aspects of the denials management department including the timely, accurate submission and collection of all patient and customer accounts.

Works with across departments to manage the entire process from insurance verification to final collection.

Responsible for the timely accurate submission of all claims for service to the responsible payer.

Ensure that all payers are set up correctly within the software system.

Monitors and validates adherence to Policies and Procedures, auditing as necessary. Monitors and evaluates employee productivity and performance to goal.

Builds employee morale, motivation and loyalty by fostering positive working relationships.

This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic) in order to perform the job.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Denials managementBillingCodingReimbursement analysisMicrosoft OfficeHealthcare researchTeam managementPayer eligibility knowledge

Required

Bachelor’s Degree in related field or equivalent years of experience required

Extensive knowledge of reimbursement, billing, coding and compliance regulations is required.

A minimum of two (4) years of directly related and progressively responsible experience.

Ability to perform complex analysis and discuss with upper management.

Skilled in Microsoft Office: Word and Excel.

Ability to communicate effectively both orally and in writing.

Strong interpersonal skills.

Strong organizational skills, including attention to detail.

Knowledge of payer eligibility and benefits.

Health care research and analysis skills sufficient to support payer research through healthcare policy library and state management.

Ability to resolve associate issues effectively and efficiently.

Preferred

Minimum of 5 years of experience in managing a high-volume, fast-growing billing office within the laboratory setting is preferred.

Benefits

Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents

Free testing in addition to fertility care benefits

Pregnancy and baby bonding leave

401k benefits

Commuter benefits

Generous employee referral program

Company

Natera

Glassdoor

3.5

Natera specializes in cell-free DNA testing to provide a more targeted interventions to oncology, women's health, and organ health.

Founded in 2004

San Carlos, California, USA

1,001-5,000 employees

https://www.natera.com/

H1B Sponsorship

Natera has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (24)

2022 (54)

2021 (75)

2020 (47)