Associate Director, Billing Strategy – Denials & Appeals

Natera

. Lead denial management and appeals strategy across all payer types .

Posted 10/2/2026full-timeRemote • United StatesSenior💰 $132,100 - $165,100 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare Revenue Cycle Management with a focus on denials and appeals, utilizing strong analytical skills to drive improvements in appeal overturn rates and operational efficiencies. Proficient in collaborating with cross-functional teams and leveraging data analysis tools to inform strategic decisions.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementDenials And Appeals StrategyLaboratory Billing And CPT CodingPower BI And SQL ProficiencyCross-Functional Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Denial ManagementAppeals StrategyCPT CodingReimbursement MethodologiesData AnalysisWorkflow AutomationRules-Based WorkflowsDenial RoutingAudit PerformanceMedical Necessity Criteria

Soft Skills

Analytical SkillsInfluencing StakeholdersCollaborationProblem SolvingAccountability

Tools & Technologies

Power BISQLExcelSnowflakeAMDJira

Industry Keywords

Payer PoliciesManaged CareMedicareMedicaidBPO Vendors

Tech Stack

Tools & technologies

RPASQL

About the role

Key responsibilities & impact

Lead denial management and appeals strategy across all payer types
Define and track overturn rates, appeal timelines, and recovery performance
Serve as an internal expert on payer policies and medical necessity criteria for laboratory testing
Interpret payer policies and guide teams in 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, identify workflow gaps, enforce accountability, and drive improvements
Develop job aids and standardized workflows
Analyze denial trends to distinguish avoidable operational issues from systemic or payer-driven challenges
Translate denial and appeals workflows into system logic with engineering and vendors
Define requirements for rules-based workflows, denial routing, and appeal triggers in billing systems such as AMD
Support rules engines, RPA, and AI-driven workflow automation initiatives
Lead UAT and QA for system changes
Identify opportunities to transition processes toward scalable, low-touch or unattended workflows
Identify automation edge cases, failure points, and logic gaps before and after deployment
Analyze datasets using Power BI, SQL, Excel, or Snowflake to quantify denial drivers and financial impact

Requirements

What you’ll need

8–12+ years of experience in healthcare Revenue Cycle Management (RCM), with deep 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
Preferred: experience supporting revenue-cycle automation initiatives
Preferred: experience partnering with engineering teams or vendors to implement billing system enhancements
Preferred: familiarity with AI-driven workflow concepts
Preferred: experience with AMD or similar billing platforms
Preferred: experience with Jira or similar workflow tracking systems

Benefits

Comp & perks

Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
Free testing for employees and their immediate families
Fertility care benefits
Pregnancy and baby bonding leave
401k benefits
Commuter benefits
Employee referral program
Equal Opportunity Employer and inclusive workplace