Associate Director, Billing Strategy - Denials & Appeals
Description
Associate Director, Billing Strategy – Denials & Appeals Position Summary Natera is seeking an Associate Director, Billing Strategy – Denials & Appeals to lead the strategy, performance, and optimization of denied claims and appeals. This is a senior individual contributor role responsible for shaping denial management strategy, driving payer advocacy, and partnering cross-functionally to improve reimbursement outcomes. This role will also play a key part in supporting automation initiatives across denial and appeals workflows—translating operational expertise into system logic and partnering with engineering and vendors to scale processes through technology. The Associate Director will oversee this function from three angles: Operational: Oversight and performance management of outsourced RCM teams handling denials and appeals. Analytical: Root cause analysis and data-driven insights to improve denial rates and recovery. Technical: Defining and supporting system enhancements and automation strategies tied to denial workflows. Key Responsibilities Strategy & Payer Advocacy 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 --- Source: jobicy - Natera
