Remote Associate Director, Denials & Appeals Strategy

Natera; Austin (TX); Remote; USD 132,000 - 165,000; Full time

Job summary

Natera is seeking an Associate Director, Billing Strategy – Denials & Appeals to lead denial management strategy, drive payer advocacy, and partner across functions to improve reimbursement outcomes.

This senior role will oversee outsourcing partnerships, implement data-driven improvements, and guide system and automation enhancements in denial workflows. Strong analytical and communication skills are essential.

Qualifications

• 8–12+ years in healthcare Revenue Cycle Management (RCM) with focus on denials and appeals.
• Expertise in laboratory billing, CPT coding, and reimbursement methodologies.
• Strong knowledge of commercial, Medicare, Medicaid, and managed care payer policies.
• Demonstrated success improving appeal overturn rates and resolving medical necessity denials.
• Experience working with BPO or offshore RCM vendors.
• Strong analytical skills with experience using Power BI, Excel, SQL, or Snowflake.
• Experience leading cross-functional initiatives and influencing stakeholders without direct authority.

Responsibilities

• Lead denial management and appeals strategy across all payer types.
• Define and track overturn rates, appeal timelines, and recovery performance.
• Act as an internal expert on payer policies and medical necessity criteria for laboratory testing.
• Interpret payer policies and guide teams on defending medical necessity in appeals.
• Identify payer behavior patterns to inform contracting strategy and escalation pathways.
• Partner with eligibility, prior authorization, coding, and billing teams to proactively prevent denials.
• Audit BPO/vendor performance using data to identify workflow gaps and drive improvements.
• Translate denial and appeals workflows into system logic and guide automation buildout.

Skills

Denials & Appeals

Power BI

SQL

Excel

Data analytics

Cross-functional leadership

Payer policies

Tools

Power BI

SQL

Snowflake

Jira

Job description

Natera is seeking an Associate Director, Billing Strategy – Denials & Appeals to lead denial management strategy, drive payer advocacy, and partner across functions to improve reimbursement outcomes.

This senior role will oversee outsourcing partnerships, implement data-driven improvements, and guide system and automation enhancements in denial workflows. Strong analytical and communication skills are essential.