Key Responsibilities:
- Team Leadership & Supervision: Manage and mentor a remote team handling prior authorization-related activities. Provide guidance, training, and support to ensure excellent service delivery.
- Operational Oversight: Monitor operations, ensuring timely and accurate responses to inquiries regarding prior authorization requests.
- Process Optimization: Identify and implement improvements to streamline the prior authorization process, reducing turnaround times, and enhancing efficiency.
- Performance Management: Set performance goals, track key metrics, and provide regular feedback and coaching to team members.
- Quality Assurance: Conduct audits and quality reviews to maintain compliance with company policies, insurance regulations, and industry standards.
- Collaboration: Work cross-functionally with internal teams to resolve issues and enhance workflows.
- Issue Resolution: Address escalations ensuring prompt and effective resolutions.
- Reporting & Documentation: Maintain accurate records of team performance, authorization requests, and customer interactions. Generate reports for leadership as needed.
Qualifications:
- Bachelor’s degree in healthcare administration, business, or a related field preferred, or equivalent work experience.
- Minimum 3-5 years of experience in prior authorizations, insurance verification, or a related healthcare support role.
- At least 1-2 years of supervisory or team leadership experience in a call center environment, preferably in healthcare
Skills & Competencies:
- Strong knowledge of medical insurance processes, prior authorizations, and reimbursement guidelines.
- Excellent leadership and people management skills, with the ability to motivate and develop remote teams.
- Proficient in manual reporting and data analysis through tools such as Excel, Google Sheets, and PowerBI
- Effective problem-solving and conflict-resolution abilities.
- Proficiency in prior authorization platforms.
- Strong communication skills, both written and verbal.
- Ability to multitask, prioritize, and manage time effectively in a fast-paced environment.
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OUR OPPORTUNITY
Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.
The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.
WHAT WE OFFER
Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!
For more information, visit www.natera.com.
Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.
All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.
If you are based in California, we encourage you to read this important information for California residents.
Link: https://www.natera.com/notice-of-data-collection-california-residents/
Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.
For more information:
- BBB announcement on job scams
- FBI Cyber Crime resource page
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