Supervisor, Revenue Cycle – Prior Authorization

Natera

. Oversee daily operations of teams handling the full Prior Authorization function, including submissions, denials, and appeals .

Posted 10/23/2026full-timeRemote • United StatesMid-LevelSenior💰 $62,200 - $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. Strong leadership skills in coaching teams and ensuring compliance with payer requirements and internal standards.

Highest-signal resume keywords

Healthcare Revenue Cycle ExperiencePrior Authorization WorkflowsOperational KPI MonitoringTeam Leadership ExperienceProcess Improvement Implementation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior AuthorizationInsurance VerificationDenial ManagementAppeals ProcessingHealthcare Billing PracticesOperational Performance AnalysisQuality AssuranceRoot Cause AnalysisWorkflow StandardizationPerformance Trend Identification

Soft Skills

Analytical SkillsOrganizational SkillsProblem-Solving SkillsCommunication SkillsInterpersonal Skills

Tools & Technologies

Revenue Cycle Management SystemsPayer PortalsReporting ToolsMicrosoft Excel

Certifications & Qualifications

Healthcare Revenue Cycle CertificationCRCSCRCP

Industry Keywords

Payer Authorization RequirementsHealthcare RegulationsQuality StandardsComplianceDiagnostic Testing

About the role

Key responsibilities & impact

Oversee daily operations of teams handling the full Prior Authorization function, including submissions, denials, and appeals
Provide day-to-day 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 to ensure workload distribution and timely follow-up
Serve as an escalation point for complex authorization issues, payer disputes, and operational challenges
Collaborate with Billing, Insurance Verification, Denials & Appeals, and other Revenue Cycle teams
Partner with offshore team leads and operational stakeholders on workflows, performance expectations, training, quality standards, and escalations
Identify root causes and implement process improvements to reduce denials, mismatches, delays, and inefficiencies
Ensure adherence to payer requirements, internal policies, documentation standards, and healthcare regulations
Conduct quality reviews and audits for accuracy, completeness, and compliance
Prepare, analyze, and communicate operational performance reports
Support standardized workflows, training materials, and SOP development and maintenance
Participate in hiring, onboarding, training, employee development, and performance evaluations
Foster a collaborative, accountable, and 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, with ability to collaborate across departments and provide coaching and feedback
Ability to manage competing priorities, meet deadlines, and lead teams in a fast-paced, high-volume operational environment
Preferred: Experience supervising prior authorization teams or related revenue cycle functions in healthcare, diagnostic laboratory, or specialty testing environments
Preferred: Experience overseeing geographically distributed teams, including offshore or outsourced operational teams
Preferred: Familiarity with prior authorization requirements and payer policies specific to diagnostic, molecular, or genetic testing
Preferred: Experience managing prior authorization denials, appeals, authorization discrepancies, or payer-related escalations
Preferred: Proficiency with revenue cycle management systems, payer portals, reporting tools, and Microsoft Excel
Preferred: Experience developing and implementing process improvements, standardized workflows, and quality assurance initiatives
Preferred: 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
401k benefits
Commuter benefits
Employee referral program