Billing Strategy Lead - Denials & Appeals (Remote)

Natera, Inc.; Northern (KY); Hybrid; USD 132,000 - 165,000; Full time

Benefits offered by this job

Remote work

Competitive benefits

Job summary

Natera, Inc. is seeking an Associate Director of Billing Strategy for Denials & Appeals. This remote US role leads strategy, performance, and optimization of denied claims and appeals, partnering with engineering and vendors to scale automation.

You will drive payer advocacy, oversee outsourced RCM teams, and use data-driven insights to reduce denial rates and improve recovery across commercial, Medicare, and Medicaid payers.

Qualifications

• 8–12+ years in healthcare Revenue Cycle Management (RCM) with a focus on denials and appeals.
• Expertise in laboratory billing, CPT coding, and reimbursement methodologies.
• Strong knowledge of commercial, Medicare, Medicaid and managed care policies.
• Proven success improving appeal overturn rates and resolving medical necessity denials.
• Experience with BPO or offshore RCM vendors.
• Advanced analytics using Power BI, Excel, SQL or Snowflake.
• Experience leading cross-functional initiatives and influencing stakeholders.

Responsibilities

• Lead denial management and appeals strategy across all payer types.
• Define and track overturn rates, appeal timelines, and recovery performance.
• Guide teams on defending medical necessity in appeals.
• Audit BPO/vendor performance and drive workflow improvements.
• Translate denial workflows into system logic and support automation Buildout.
• Lead UAT and QA for system changes and new features.
• Analyze denial trends to differentiate avoidable issues from systemic challenges.

Skills

Denials & Appeals

RCM

Power BI

SQL

Snowflake

Laboratory Billing

CPT Coding

Payer Policies

Vendor Management

Cross-functional Leadership

Tools

Jira

AMD

Job description

Natera, Inc. is seeking an Associate Director of Billing Strategy for Denials & Appeals. This remote US role leads strategy, performance, and optimization of denied claims and appeals, partnering with engineering and vendors to scale automation.

You will drive payer advocacy, oversee outsourced RCM teams, and use data-driven insights to reduce denial rates and improve recovery across commercial, Medicare, and Medicaid payers.