Manager, Revenue Cycle; Post-Appeals

JOB SUMMARY:

The Manager, Post Appeals will oversee the Unresponded team and lead the post-appeal response tracking function within Natera's Revenue Cycle Billing Operations. This role is responsible for overseeing a large remote team (offshore and onshore) focused on monitoring and driving resolution of appeals submitted to payers across all plan types. The Manager partners cross-functionally with Denials & Appeals, Technology, and operational leadership to determine solutions that will reduce backlog, maintain SLA compliance, and build scalable workflows that support the team's growing volume.

• Oversee day-to-day operations of the Unresponded team, including an offshore team of 124+ reps with supporting leadership, and onshore Analysts and Supervisor.

• Monitor and drive resolution of all post-appeal payer responses across commercial and non-commercial plans, ensuring timely follow-up and accurate disposition of outstanding appeals

• Identify backlog drivers and develop strategies to reduce aging unresponded appeals and bring the team within SLA targets

• Partner with technology and systems teams to define, prioritize, and implement workflow improvements

• Collaborate closely with the Denials & Appeals teams to ensure errors identified within the unresponded scope are escalated, documented, and fed back into the broader process

• Manage performance of direct and indirect reports through goal-setting, productivity monitoring, coaching, and ongoing development

• Build and refine standard operating procedures and workflows to sustain SLA compliance as volume scales

• Serves as liaison between offshore leadership and onshore Natera staff to ensure alignment on priorities, processes, and performance expectations

• Performs other duties as assigned

• Bachelor's Degree in a related field or equivalent experience required

• Minimum 5 years of experience in managing large teams within billing, denials management, or revenue cycle operations within a laboratory or healthcare setting

• Demonstrated experience managing large, remote or offshore teams

• Strong knowledge of commercial and non-commercial payer plans, appeal processes, and post-appeal response workflows

• Familiarity with multiple payer portals required; experience with AMD preferred

• Experience working cross-functionally with technology or systems teams to drive operational workflow improvements

• Deep understanding of the appeals lifecycle, including post-submission payer response tracking and resolution

• Ability to analyze backlog data, identify trends, and translate findings into actionable operational strategies

• Strong project management skills with the ability to manage competing priorities across a large team structure

• Comfortable operating in a fast-paced, high-volume environment with evolving workflows and systems

• Effective communicator across all levels — offshore reps, onshore leadership, and technology stakeholders

• Proficiency in Microsoft Office (Word, Excel); experience with billing platforms and payer portals strongly preferred

• Knowledge of PHI handling requirements; this role regularly accesses PHI in both paper and electronic form

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

Austin, TX

$101,400 — $120,000 USD

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…