Reimbursement Supervisor Front End

About Us

Would you like to be part of a fast-growing team that believes no one should have to succumb to viral-mediated cancers Naveris a commercial stage precision oncology diagnostics company with facilities in Boston MA and Durham NC is looking for a Reimbursement Supervisor - Front End team member to help us advance our mission of developing and delivering novel diagnostics that transform cancer detection and improve patient outcomes. Our flagship test NavDx is a breakthrough blood-based DNA test for HPV cancers clinically proven and already trusted by thousands of physicians and institutions across the U.S.

Opportunity

We are looking for a conscientious knowledgeable Reimbursement Supervisor Front End to join our team and oversee front-end reimbursement operations. While Naveris partners with an outsourced RCM vendor this role provides hands-on oversight of insurance verification prior authorization and front-end billing processes to ensure clean accurate and timely claim submissions across Medicare Medicaid and commercial insurance plans.

Job Responsibilities

Reporting to the Manager Reimbursement & Appeals this role supports the Reimbursement department by supervising front-end billing operations and staff. The Reimbursement Supervisor Front End is responsible for ensuring accurate insurance verification timely claim readiness patient collections and compliance with billing regulations and company policies.

• Supervise train and evaluate the performance of front-end billing and insurance verification staff
• Oversee daily front-end billing operations including insurance verification prior authorization workflows and financial assistance programs
• Serve as an escalation point for complex billing inquiries discrepancies and patient complaints ensuring timely resolution and clean claim submission
• Assist in developing documenting and maintaining front-end billing policies and procedures
• Ensure compliance with all applicable billing regulations and company policies including HIPAA; conduct audits to identify errors and improvement opportunities
• Recommend process improvements to enhance efficiency productivity and cash flow
• Stay current on insurance policies coding guidelines and federal/state regulations through ongoing education
• Communicate effectively with patients and providers regarding billing policies financial assistance programs EOBs and member responsibility in escalated cases
• Critically assess difficult situations and escalate to leadership when appropriate
• Maintain a strong understanding of the reimbursement lifecycle and communicate it clearly across teams
• Maximize utilization of systems tools and resources to support front-end reimbursement activities
• Manage multiple priorities with urgency in a fast-paced environment
• Ensure compliance with all Federal and State legislation related to billing and reimbursement
• Fully remote role (U.S.-based) with occasional travel for trainings meetings or on-site presence at headquarters.
• Travel requirement: up to 5%.

Requirements

• 4 years of experience in reimbursement or revenue cycle management within a diagnostics company laboratory or commercial payer environment
• Bachelors degree or equivalent experience
• Prior experience leading or supervising a billing insurance verification or reimbursement 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 guidelines
• Strong problem-solving skills with attention to detail judgment and 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 changing business needs
• Self-starter with the ability to work independently while supervising others

Compliance Responsibilities

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 patients consent or knowledge. All roles at Naveris require compliance with legal and regulatory requirements of HIPAA and acceptance and adherence to all policies and standards at Naveris. Personnel acknowledges they are personally responsible for reporting any suspected violations or abuse and are required to complete HIPAA training when joining the company.

Why Naveris

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

Naveris is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We dont just accept differences - we celebrate and support them. 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.