Billing Director

Accountabilities:

• • Lead and oversee day-to-day medical billing and revenue cycle operations, ensuring efficient, accurate, and compliant processes.
  • Monitor key revenue cycle metrics, including billing accuracy, collections, denials, claim performance, and overall financial results.
  • Develop and implement strategies to reduce claim denials, improve reimbursement, strengthen collections, and maximize revenue.
  • Ensure claims are prepared and submitted accurately in accordance with CMS requirements and commercial payer guidelines.
  • Oversee billing audits, claim reviews, quality control activities, and corrective actions to maintain high standards of accuracy.
  • Identify billing trends, discrepancies, recurring issues, and operational inefficiencies, translating findings into actionable process improvements.
  • Collaborate closely with coding, credentialing, billing, clinical operations, and other cross-functional teams to resolve issues and improve revenue cycle performance.
  • Develop and maintain billing policies, procedures, workflows, and controls designed to improve efficiency and consistency.
  • Lead, mentor, coach, and support billing team members while establishing clear performance expectations and fostering professional development.
  • Ensure adherence to applicable healthcare regulations, payer requirements, internal policies, and revenue cycle compliance standards.
  • Prepare, analyze, and present billing and revenue cycle reports, KPIs, trends, and recommendations to senior leadership.
  • Support payer audits, internal audits, compliance reviews, and other financial or operational assessments.
  • Lead continuous improvement initiatives designed to enhance billing performance, operational efficiency, and measurable financial outcomes.

  Requirements:

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field is preferred.
  • At least 5 years of experience in medical billing, revenue cycle management, healthcare finance, or a closely related field.
  • At least 2 years of leadership or management experience overseeing billing or revenue cycle teams.
  • Strong knowledge of medical billing, claims processing, denial management, payer requirements, and revenue cycle management.
  • Working knowledge of CMS and commercial insurance payer guidelines and healthcare compliance requirements.
  • Experience with billing systems and EHR/EMR platforms.
  • Strong analytical and problem-solving abilities, with the capacity to identify root causes and translate data into practical improvements.
  • Demonstrated success developing and implementing processes that improve billing accuracy, reduce denials, and increase revenue performance.
  • Strong leadership, communication, and team-management skills, with the ability to collaborate effectively across clinical and administrative functions.
  • Strong organizational skills and the ability to manage multiple priorities in a fast-paced healthcare environment.
  • Experience in neurology, behavioral health, or specialty-care billing is highly preferred.
  • Professional certifications such as CPB (Certified Professional Biller), CPC (Certified Professional Coder), or CRCR (Certified Revenue Cycle Representative) are valued.

  Benefits:

  • Competitive salary.
  • Fully remote work environment within the United States.
  • Opportunities for professional advancement within revenue cycle leadership.
  • Continuing education and professional development support.
  • Opportunity to take ownership of revenue cycle strategy and directly influence billing performance and operational improvement.