Natera
Natera
Natera स्वास्थ्य सेवा के लिए सेल-फ्री DNA परीक्षण और बायोइन्फॉर्मेटिक्स समाधान विकसित करती है। इसकी नैदानिक तकनीकें गैर-आक्रामक प्रसवपूर्व जांच, कैंसर की पहचान और अंग प्रत्यारोपण की निगरानी में सहायता करती हैं, जिससे चिकित्सकों और मरीजों को अधिक सूचित देखभाल संबंधी निर्णय लेने के लिए आनुवंशिक जानकारी मिलती है। कंपनी का कार्य आधुनिक चिकित्सा के कई क्षेत्रों में जैव-प्रौद्योगिकी, डेटा विश्लेषण और नैदानिक अनुप्रयोगों को एक साथ लाता है।

Associate Director, Billing Strategy - Denials and Appeals (Remote, United States)

Lead denial and appeals strategy at Natera, a global cell-free DNA testing company. Use payer advocacy, analytics, and billing automation to improve reimbursement outcomes.

विवरण

  • Own denial management and appeals strategy across all payer categories
  • Establish and monitor overturn rates, appeal timelines, and recovery results
  • Act as the internal authority on payer policies and laboratory-testing medical necessity criteria
  • Interpret payer requirements and help teams substantiate medical necessity during appeals
  • Analyze payer behavior to support contracting decisions and escalation strategies
  • Collaborate with eligibility, prior authorization, coding, and billing teams to prevent denials proactively
  • Review BPO and vendor performance, close workflow gaps, reinforce accountability, and implement improvements
  • Create practical job aids and standardized operating procedures
  • Assess denial patterns to separate preventable operational issues from systemic or payer-related problems
  • Convert denial and appeals processes into system logic with engineering teams and vendors
  • Specify rules-based workflow, denial-routing, and appeal-trigger requirements for billing platforms such as AMD
  • Contribute to rules-engine, RPA, and AI-enabled workflow automation programs
  • Direct user acceptance testing and quality assurance for system updates
  • Find opportunities to move processes into scalable, low-touch, or unattended workflows
  • Anticipate automation edge cases, failure modes, and logic gaps before and after launch
  • Use Power BI, SQL, Excel, or Snowflake to measure denial causes and financial impact

आवश्यकताएँ

  • Bring 8–12 or more years of healthcare Revenue Cycle Management experience, with substantial denials and appeals expertise
  • Demonstrate expertise in laboratory billing, CPT coding, and reimbursement methods
  • Understand commercial, Medicare, Medicaid, and managed-care payer policies in depth
  • Show a record of improving appeal overturn rates and resolving medical necessity denials
  • Have experience working with BPO or offshore revenue-cycle vendors
  • Use Power BI, Excel, SQL, or Snowflake effectively for analysis
  • Lead cross-functional programs and influence stakeholders without direct reporting authority
  • Preferred: experience supporting revenue-cycle automation programs
  • Preferred: experience collaborating with engineering teams or vendors on billing-system enhancements
  • Preferred: familiarity with AI-enabled workflow concepts
  • Preferred: experience with AMD or a comparable billing platform
  • Preferred: experience using Jira or a similar workflow-management system

लाभ

  • Comprehensive medical, dental, vision, life, and disability coverage is available to eligible employees and dependents
  • Complimentary testing is available for employees and their immediate families
  • Fertility-care benefits
  • Pregnancy and baby-bonding leave
  • 401(k) benefits
  • Commuter benefits
  • Employee referral program
  • Equal Opportunity Employer with an inclusive workplace

संबंधित नौकरियाँ

Lumbry Park Veterinary Specialists

Senior Marketing Manager, Veterinary Specialty Care

Lumbry Park Veterinary Specialists

Shape AOSN’s brand, digital presence, and growth campaigns as it expands across the United States. Lead marketing for the country’s largest veterinary specialty outpatient network.

खोलें
ASTRUM IT GmbH

Frontend Developer, AI and Graph Databases – ASTRUM IT (Hybrid, Germany)

ASTRUM IT GmbH

Build web interfaces for ASTRUM IT’s MRI licensing and knowledge management system, using Neo4j and AI-assisted development tools. Work with the Product Owner, UX team, and subject-matter experts to shape the solution and its architecture.

खोलें
The Vitamin Shoppe

Senior Brand Manager, Private Label Supplements

The Vitamin Shoppe

Lead private-label supplement innovation, commercialization, and portfolio growth at The Vitamin Shoppe. Use category analysis and brand strategy to shape products and deliver sales plans.

खोलें
GOCOMO

Senior Brand Strategist — GOCOMO, Remote in Germany

GOCOMO
1 – 10 कर्मचारी
B2BB2Cविपणन

Lead brand and campaign strategy at GOCOMO, a data-driven social media agency. Connect audience insights, creative thinking, AI, and client goals.

खोलें
AAADS

Creative Strategist, Meta Social Advertising

AAADS

Shape high-performing Meta ads for AAADS, a performance marketing agency based in Cologne. Use creative insights and campaign data to guide hooks, scripts, and new concepts.

खोलें
Beam

Content Creator, Employer Brand and Social Media

Beam

Build Beam’s employer brand and social presence through video, photography, and storytelling. Create content that supports Beam’s mission to make frontline support accessible.

खोलें
THEFABERS GmbH

Remote Marketing Manager in Germany

THEFABERS GmbH
1 – 10 कर्मचारी
B2Bविपणन

Create content and coordinate client projects at THEFABERS, a team focused on turning business traffic into paying customers. This Germany-based remote role requires excellent German and basic English.

खोलें
Early Warning

Brand Marketing Director

Early Warning

Lead Early Warning’s brand strategy, employer brand, and corporate narrative. Shape executive messaging and storytelling for Zelle® and payment technology.

खोलें
AppNation

Brand Manager – AppNation, Hybrid in Istanbul

AppNation

Shape AppNation’s brand and employer identity for its AI-powered mobile apps. Lead content, communities, events, and candidate experience in Istanbul.

खोलें
Ideagen

Marketing Executive

Ideagen

Deliver digital campaigns, content and events at Ideagen, whose software helps organisations manage risk and compliance. Use campaign analytics to inform improvements and support pipeline growth.

खोलें