Manager, Denials and Appeals

At Natera, we are dedicated to transforming the field of reproductive and genetic testing through innovative technology and exceptional patient care. As our company continues to grow, we are seeking a highly skilled and motivated individual to join our team as the Manager of Denials and Appeals.In this role, you will be responsible for overseeing the denials and appeals process for all insurance claims, ensuring timely and accurate resolution. The ideal candidate will possess a strong understanding of the healthcare industry, excellent communication skills, and a proven track record of successfully managing denials and appeals. Additionally, the ability to work collaboratively with cross-functional teams and adapt to a fast-paced, dynamic environment is essential.Join us in our mission to improve the lives of individuals and families through advanced genetic testing. Apply now and become a vital member of our team at Natera.

1. Develop and implement effective strategies for managing denials and appeals, in alignment with company goals and objectives.
2. Oversee and lead a team of denials and appeals specialists, providing guidance and support as needed.
3. Review and analyze insurance claims to identify trends and patterns in denials and appeals, and make recommendations for process improvements.
4. Collaborate with cross-functional teams, including billing, coding, and customer service, to identify and resolve issues related to denials and appeals.
5. Ensure timely and accurate submission of appeals, including gathering and organizing all necessary documentation.
6. Maintain up-to-date knowledge of insurance policies, regulations, and guidelines related to denials and appeals.
7. Develop and maintain relationships with insurance providers and other stakeholders to facilitate timely resolution of denials and appeals.
8. Monitor and track denials and appeals metrics and report on trends, outcomes, and performance to senior management.
9. Develop and implement training programs for staff to ensure compliance with company policies and procedures related to denials and appeals.
10. Serve as a subject matter expert on denials and appeals, providing guidance and support to colleagues and other departments as needed.
11. Continuously seek opportunities for process improvement and cost savings related to the denials and appeals process.
12. Maintain accurate and organized records of denials and appeals, including tracking and reporting on revenue recovery.
13. Foster a positive and collaborative work environment, promoting teamwork and open communication among team members.
14. Adhere to all company policies and procedures, as well as relevant laws and regulations, related to denials and appeals.
15. Represent the company in a professional and ethical manner at all times, reflecting the company's values and commitment to patient care.

According to JobzMall, the average salary range for a Manager, Denials and Appeals is between $75,000 and $120,000 per year. However, salaries can vary depending on factors such as location, experience, and employer. Some managers in this role may earn higher salaries, especially if they have additional certifications or work for larger healthcare organizations. Additionally, bonuses and benefits may also be included in the overall compensation package for this position.

Natera is a genetic testing company that operates a CLIA-certified laboratory in San Carlos, California.