Job Summary
We are hiring for this position for a client. The Director of Medical Billing will lead end-to-end billing operations with a strong focus on project management, process improvement, and quality assurance. This role is responsible for driving operational excellence, ensuring compliance, improving collections, and delivering high-quality outcomes across multiple clients and projects.
Key Responsibilities
- Strategic Leadership
- Own and lead the medical billing function across multiple projects, clients, and teams.
- Translate business goals into structured billing, quality, and delivery roadmaps.
- Act as a senior escalation point for complex operational, client, and compliance issues.
- Project Management
- Lead large-scale billing transitions, new client onboarding, system implementations, and process change initiatives.
- Define project scope, timelines, KPIs, risks, and deliverables.
- Ensure projects are delivered on time, within scope, and with minimal revenue disruption.
- Quality & Compliance
- Design and oversee Quality Assurance frameworks for billing accuracy, compliance, and productivity.
- Monitor audit outcomes, denial trends, error rates, and rework metrics.
- Ensure compliance with HIPAA, payer guidelines, and regulatory requirements.
- Operational Excellence
- Drive continuous improvement initiatives to reduce denials, improve first-pass yield, and accelerate cash flow.
- Standardize workflows, SOPs, and best practices across teams and clients.
- Partner with technology teams on automation, reporting, and billing system optimization.
- People & Performance Management
- Lead, mentor, and develop managers, team leads, and senior billing professionals.
- Set performance goals, conduct reviews, and build high-accountability teams.
- Build succession plans and leadership depth within the function.
- Client & Stakeholder Management
- Act as the senior operational contact for key clients.
- Present performance reviews, quality metrics, and improvement plans to stakeholders.
- Collaborate with Sales, IT, Compliance, and Finance teams.
- Key Skills & Expertise
- Deep expertise in medical billing and revenue cycle management (professional and/or facility billing).
- Strong project management experience handling multi-stakeholder, multi-location initiatives.
- Proven background in quality management, audits, and compliance.
- Data-driven decision-making with strong reporting and analytical skills.
- Excellent leadership, communication, and executive-level presentation skills.
Qualifications
- Bachelor’s degree in Healthcare Management, Business, Finance, or related field (Master’s preferred).
- 10+ years of experience in medical billing or revenue cycle operations.
- 5+ years in a senior management or director-level role.
Compensation
We are open to a salary bracket based on qualifications, past experience, and stability (growth in the same company).