Remote opportunity at
NateraAssociate Director, Billing Strategy - Denials & Appeals
Natera is seeking an Associate Director, Billing Strategy – Denials & Appeals to guide the performance, strategy, and optimization of denied claims and appeals. Operating as…
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About This Role
Natera is seeking an Associate Director, Billing Strategy – Denials & Appeals to guide the performance, strategy, and optimization of denied claims and appeals. Operating as a senior individual contributor, this role focuses on shaping denial management, encouraging payer advocacy, and collaborating across departments to boost reimbursement results. Natera functions as a global leader in cell-free DNA testing, concentrating on oncology, women’s health, and organ health with the goal of…
Job Description
Natera is seeking an Associate Director, Billing Strategy – Denials & Appeals to guide the performance, strategy, and optimization of denied claims and appeals. Operating as a senior individual contributor, this role focuses on shaping denial management, encouraging payer advocacy, and collaborating across departments to boost reimbursement results. Natera functions as a global leader in cell-free DNA testing, concentrating on oncology, women’s health, and organ health with the goal of integrating personalized genetic testing into standard medical care.
This position requires a professional who can manage the function through operational oversight of outsourced revenue cycle management teams, analytical root cause investigations to elevate recovery rates, and technical system enhancements to support automation workflows. Individuals in this role will translate operational practices into system logic while working alongside engineering staff and vendors to scale operations via technology. Candidates should be comfortable handling complex datasets, leading user acceptance testing, and defining requirements for automated billing rules.
The position suits candidates with extensive experience in healthcare revenue cycle management and laboratory billing who possess a strong blend of investigative, data-driven, and systems-thinking skills. Team members at Natera operate alongside industry professionals in an environment focused on genetic disease management.
Responsibilities
- Lead denial management and appeals strategy across all payer types while tracking overturn rates, recovery performance, and appeal timelines
- Serve as an internal subject matter expert regarding payer policies and medical necessity criteria for laboratory diagnostics
- Analyze denial trends to differentiate between avoidable operational errors and systemic or payer-driven challenges
- Audit vendor and business process outsourcing performance using data to enforce accountability and correct workflow gaps
- Translate denial and appeals procedures into system logic while collaborating with engineering and vendors to build automation capabilities
- Define technical requirements for rules-based workflows, appeal triggers, and denial routing within billing platforms like AMD
- Lead user acceptance testing and quality assurance for platform modifications to verify alignment with real-world scenarios and payer guidelines
- Examine large datasets utilizing tools such as SQL, Snowflake, Excel, and Power BI to measure financial impact and denial drivers
Requirements
- Possess eight to twelve or more years of experience working in healthcare revenue cycle management with a heavy concentration on denials and appeals
- Demonstrate expertise in reimbursement methodologies, CPT coding, and laboratory billing
- Demonstrate a strong understanding of commercial, Medicaid, Medicare, and managed care payer policies
- Show documented success in resolving medical necessity denials and raising appeal overturn rates
- Bring practical experience collaborating with offshore or business process outsourcing revenue cycle management vendors
- Exhibit strong analytical skills backed by regular use of tools like Snowflake, SQL, Excel, or Power BI
- Show experience driving cross-functional initiatives and influencing stakeholders without having direct authority
Qualifications
- Experience supporting revenue cycle automation efforts including workflow automation tools, rules engines, or robotic process automation
- Experience partnering with vendors or engineering teams to deploy billing platform improvements
- Familiarity with artificial intelligence-driven workflow concepts like intelligent decisioning and routing in operational environments
- Prior experience utilizing the AMD billing platform
- Familiarity with workflow tracking systems such as Jira
Core Skills
Benefits
- Comprehensive medical, dental, vision, life, and disability insurance plans for eligible employees and dependents
- Free testing services for employees and immediate family members alongside fertility care benefits
- Pregnancy and baby bonding leave
- 401k retirement benefits
- Commuter benefits
- Generous employee referral program
Frequently Asked Questions
What is the salary range for the Associate Director, Billing Strategy position?
The remote USA pay range is listed between $132,100 and $165,100 USD. Actual compensation packages vary based on unique factors such as experience depth, skill set, certifications, and specific office location.
What is the employment type and location setup for this role?
The posting specifies a full-time employment type. While the source notes a remote USA salary range of $132,100 to $165,100, the overall remote status field is listed as on-site.
How many years of experience are required to apply?
Applicants must have 8 to 12 or more years of experience in healthcare revenue cycle management, with a deep focus on denials and appeals.
What kind of company is Natera?
Natera is a global leader in cell-free DNA testing focused on oncology, women's health, and organ health, aiming to make personalized genetic testing a standard part of medical care.
Sample Interview Questions
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