Supervisor, Prior Authorizations

Natera

. Oversee daily operations of the Prior Authorization Denials & Appeals, PA360, and PA Mismatch teams .

Posted 10/22/2026full-timeRemote • United StatesMid-LevelSenior💰 $69,200 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in overseeing prior authorization processes, managing healthcare revenue cycle operations, and implementing process improvements while fostering a collaborative team environment. Proficient in analyzing operational performance and ensuring compliance with payer requirements and healthcare regulations.

Highest-signal resume keywords

Healthcare Revenue Cycle ExperiencePrior Authorization WorkflowsOperational KPI MonitoringTeam Leadership and DevelopmentProcess Improvement Implementation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ManagementDenial and Appeal ProcessesHealthcare Billing PracticesOperational Performance AnalysisRevenue Cycle Management SystemsPayer Portal ProficiencyMicrosoft Excel ProficiencyQuality Assurance InitiativesRoot Cause AnalysisWorkflow Standardization

Soft Skills

Analytical SkillsOrganizational SkillsProblem-Solving SkillsCommunication SkillsInterpersonal Skills

Certifications & Qualifications

Healthcare Revenue Cycle CertificationCRCSCRCP

Industry Keywords

Healthcare AdministrationPayer PoliciesMedical Necessity RequirementsDiagnostic TestingMolecular DiagnosticsGenetic TestingHigh-Volume Operational EnvironmentTeam ManagementEmployee DevelopmentQuality Reviews

About the role

Key responsibilities & impact

Oversee daily operations of the Prior Authorization Denials & Appeals, PA360, and PA Mismatch teams
Provide 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, appeals, discrepancies, and mismatches
Monitor work queues, case volumes, and aging inventory
Serve as an escalation point for complex authorization issues and payer disputes
Collaborate with Billing, Insurance Verification, Denials & Appeals, and other Revenue Cycle teams
Partner with offshore team leads and operational stakeholders on workflows, training, quality, and escalations
Identify root causes and implement process improvements
Ensure adherence to payer requirements, internal policies, documentation standards, and healthcare regulations
Conduct quality reviews and audits
Prepare, analyze, and communicate operational performance reports
Support standardized workflows, training materials, and SOPs
Participate in hiring, onboarding, training, employee development, and performance evaluations
Foster a collaborative, accountable, continuous-improvement-focused team environment

Requirements

What you’ll need

Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent professional experience
3+ years of healthcare revenue cycle experience, including prior authorization, insurance verification, authorization denials, appeals, or related payer authorization processes
1+ 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
Excellent communication and interpersonal skills, including coaching and feedback
Ability to manage competing priorities, meet deadlines, and lead teams in a fast-paced, high-volume operational environment
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 operational 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

Benefits

Comp & perks

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