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.

PRIMARY RESPONSIBILITIES

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

QUALIFICATIONS

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

KNOWLEDGE, SKILLS & ABILITIES

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

OUR OPPORTUNITY