<p> </p> <h1>RCM Claim Status Manager</h1> <h2>Position Summary</h2> <p>The RCM Claim Status Manager is a fully remote leadership role within Natera’s Billing Operations / Revenue Cycle Management organization. This individual will oversee a team responsible for the accurate and timely retrieval, review, and documentation of claim status information across a broad range of third-party payers, including Medicare, Medicaid, managed care organizations, and commercial insurance carriers.</p> <p>This role is highly operational and execution focused. The ideal candidate brings deep knowledge of revenue cycle workflows, EDI claim status transactions (particularly 276/277), payer portal navigation, and claim follow-up operations. They must be able to lead distributed teams, drive productivity and quality standards, identify workflow inefficiencies, and partner cross-functionally to resolve claim processing issues impacting reimbursement.</p> <p>The successful candidate is organized, detail-oriented, metrics-driven, and comfortable operating in a high-volume environment where accountability, responsiveness, and process consistency are critical.</p> <div><hr></div> <h1>Key Responsibilities</h1> <ul data-spread="false"> <li>Lead, coach, and develop a remote team of RCM claim specialists responsible for claim status follow-up and resolution activities</li> <li>Oversee daily operations related to electronic claim status inquiries and payer communications across Medicare, Medicaid, and commercial insurance carriers</li> <li>Ensure timely and accurate documentation of payer responses, claim statuses, denials, and follow-up actions within internal systems</li> <li>Monitor productivity, quality, and turnaround time metrics to ensure departmental SLAs and performance expectations are consistently achieved</li> <li>Identify claim processing trends, workflow bottlenecks, and payer-related issues impacting reimbursement or operational efficiency</li> <li>Escalate and resolve complex claim discrepancies, EDI transaction issues, and payer response inconsistencies</li> <li>Serve as a subject matter expert for 276/277 claim status transactions and related EDI workflows</li> <li>Partner with Billing Operations, Denials, Payment Posting, Cash Applications, and other RCM teams to improve claim lifecycle management</li> <li>Analyze reporting and operational data to identify opportunities for process improvement and automation</li> <li>Support onboarding, training, and ongoing performance management of team members</li> <li>Maintain compliance with company policies, payer requirements, HIPAA regulations, and internal quality standards</li> <li>Assist leadership with operational reporting, staffing assessments, and workflow optimization initiatives</li> </ul> <div><hr></div> <h1>Qualifications</h1> <h2>Required Qualifications</h2> <ul data-spread="false"> <li>Bachelor’s degree or equivalent combination of education and relevant RCM experience</li> <li>5+ years of progressive Revenue Cycle Management experience within healthcare billing operations</li> <li>2+ years of leadership or people management experience within an RCM, claims, or billing operations environment</li> <li>Strong understanding of healthcare claims workflows and payer follow-up processes</li> <li>Hands-on experience with EDI transactions, specifically 276/277 claim status transactions</li> <li>Experience working with Medicare, Medicaid, managed care, and commercial payer portals</li> <li>Proven ability to manage remote teams and drive accountability in a high-volume production environment</li> <li>Strong analytical, organizational, and problem-solving skills</li> <li>Experience utilizing billing systems, clearinghouses, and payer systems to research and resolve claim issues</li> <li>Advanced communication skills with the ability to collaborate cross-functionally and manage escalations effectively</li> <li>Proficiency in Microsoft Excel and reporting tools used within RCM operations</li> </ul> <h2>Preferred Qualifications</h2> <ul data-spread="false"> <li>Experience within molecular diagnostics, laboratory billing, or high-complexity healthcare reimbursement environments</li> <li>Familiarity with clearinghouse platforms and claim status automation tools</li> <li>Experience leading operational improvement or workflow optimization initiatives</li> <li>Knowledge of denials management, payment posting, or cash application workflows</li> <li>Lean, Six Sigma, or process improvement experience is a plus</li> </ul> <p> </p><div class="content-pay-transparency"><div class="pay-input"><div class="description">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.</div><div class="title">Austin, TX</div><div class="pay-range"><span>$101,400</span><span class="divider">—</span><span>$126,750 USD</span></div></div></div><div class="content-conclusion"><p><strong>OUR OPPORTUNITY</strong></p> <p>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.</p> <p>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.</p> <p><strong>WHAT WE OFFER</strong></p> <p>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!</p> <p>For more information, visit <a href="http://www.natera.com/" data-cke-saved-href="http://www.natera.com/">www.natera.com</a>.</p> <p>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.</p> <p>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.</p> <p><em>If you are based in California, we encourage you to read this important information for California residents. </em></p> <p>Link: <a href="https://www.natera.com/notice-of-data-collection-california-residents" target="_blank">https://www.natera.com/notice-of-data-collection-california-residents/</a></p> <p>Please be advised that Natera will reach out to candidates with a @<a href="http://natera.com/" target="_blank" data-saferedirecturl="https://www.google.com/url?q=http://natera.com&source=gmail&ust=1657718972773000&usg=AOvVaw3zRwaIiu7070kJKNG4hjRm">natera.com</a> 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.</p> <p>For more information:<br>- <a href="https://www.bbb.org/article/tips/12261-bbb-tip-employment-scams" target="_blank">BBB announcement on job scams</a> <br>- <a href="https://www.fbi.gov/investigate/cyber" target="_blank">FBI Cyber Crime resource page</a> </p></div>