Reimbursement Supervisor - Back End

Reimbursement Supervisor – Back End

About Naveris

Naveris is a precision oncology diagnostics company with facilities in Boston MA and Durham, NC. We develop and deliver novel diagnostics that transform cancer detection and improve patient outcomes. Our flagship test, Nav Dx, is a breakthrough blood‑based DNA test for HPV cancers, clinically proven and trusted by thousands of physicians and institutions across the U.S.

Opportunity

We are looking for a conscientious, knowledgeable Reimbursement Supervisor – Back End to join our team and oversee post‑submission reimbursement activities. While Naveris partners with an outsourced RCM vendor, this role provides hands‑on oversight of claims follow‑up, denials management, and appeals to ensure accurate reimbursement across Medicare, Medicaid, and commercial payers. This position plays a key role in driving timely resolution, compliance, and cash flow optimization.

• Supervise, coach, and train appeals and back‑end reimbursement specialists; monitor daily workflows and productivity to ensure adherence to procedures and quality standards
• Oversee claims follow‑up, denials management, and appeals processes across all payer types
• Serve as an escalation point for complex billing issues, payer disputes, and escalated patient or provider inquiries
• Partner with internal teams and the outsourced RCM vendor to resolve discrepancies and improve reimbursement outcomes
• Assist in developing, documenting, and refining back‑end reimbursement policies and procedures
• Ensure compliance with all applicable billing regulations and company policies, including HIPAA; conduct audits to identify trends, errors, and improvement opportunities
• Recommend process improvements to enhance efficiency, productivity, and cash flow
• Stay current on payer policies, coding updates, and federal/state regulations through ongoing education
• Communicate clearly with patients and providers regarding EOBs, appeals status, financial responsibility, and reimbursement policies in escalated cases
• Critically assess complex situations and elevate to leadership when appropriate
• Maintain a strong understanding of the end‑to‑end reimbursement lifecycle and communicate effectively across teams
• Leverage systems, tools, and vendor resources to support back‑end reimbursement activities
• Manage multiple priorities and operate with urgency in a fast‑paced environment
• Fully remote role (U.S.) with occasional travel for trainings, meetings, or on‑site presence at headquarters
• Travel requirement: up to 5%.

• 4+ years of experience in reimbursement or revenue cycle management within a diagnostics company, laboratory, or commercial payer environment
• Bachelor’s degree or equivalent experience
• Prior experience supervising or leading a reimbursement or appeals team
• Experience with Xifin, Quadax, or Telcor preferred
• Strong understanding of medical benefit structures, including Federal, State, PPO, HMO, and indemnity plans
• Working knowledge of CPT, ICD‑10, and HCPCS coding, as well as LCD/NCD coverage and reimbursement guidelines
• Demonstrated ability to identify process gaps, improve workflows, and ensure follow‑through
• Excellent verbal and written communication skills with a strong customer service mindset
• Strong troubleshooting, organizational, and time‑management skills
• Ability to adapt to evolving business needs
• Self‑starter with the ability to work independently while supervising others

Health Insurance Portability and Accountability Act (HIPAA) is a federal law that describes the national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge. All roles at Naveris require compliance with legal and regulatory requirements of HIPAA and adherence to all policies and standards sonnel acknowledge they are personally responsible for reporting any suspected violations or abuse and are required to complete HIPAA training when joining the company.

In addition to our great team and advanced medical technology, we offer our employees competitive compensation, work/life balance, remote work opportunities, and more!

Naveris is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non‑merit factor.