Director, Billing Operations

Job Title:  Billing Director

Summary of Duties:  Responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing processes. This position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the department.

Supervision Received:  Reports to Chief Financial Officer

Essential Functions:  Works both autonomously and collaboratively in the performance of coordinating daily activities in the billing department:

1. Oversee and streamline billing and collections processes
2. Responsible for carrying out audits of current procedures and processes, discover billing / intake operations areas to improve on and effect the necessary actions
3. Responsible for carrying out analysis of trends affecting coding, charges, accounts receivable, and collection, and report findings to coordinators
4. Coordinates and directs the activities of billing operations follow overall departmental protocol; and ensures State, Federal, and payer requirements, guidelines, and regulations are complied with
5. Serve as expert for all coding and billing processes
6. In collaboration with senior management and coordinators prepares and analyzes insurance contracts, weekly and monthly financial reports and accounts receivable reports
7. Ensures accurate collection and compilation of statistical reports
8. Identify potential revenue opportunities as well as missed revenue and report to division operations
9. Share ideas/solutions to improve billing operations
10. Plan and implement quality assurance for all billing processes
11. Oversee and provide input on issues impacting revenue cycle
12. Provide billing team with leadership, guidance and direction
13. Maintain positive atmosphere in billing department

1. Participation in leadership team meetings

1. Participates in educational activities and attends quarterly staff meetings.
2. Participates in the interview process for potential billing candidates
3. Conducts self in accordance with The Onyx Group Team Member manual.
4. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

1. Work collaboratively with patients, families, visitors, nursing personnel, physicians, staff of other departments

Skills/Experience:

1. Proven ability to perform strategic planning and priority setting for a billing department
2. Proven track record for improving process efficiencies and solving problems
3. Strong leadership skills with an ability to motivate direct reports
4. Detail oriented
5. Excellent communication skills both written and verbal, and internal personal skills
6. Excellent analytical and problem solving skills
7. Ability to manage multiple projects concurrently
8. College degree in accounting/finance/business management preferred
9. Experience in medical billing for multiple specialty groups preferred
10. Possess excellent customer service skills and exceptional telephone etiquette
11. Previous EMR experience preferred
12. Knowledgeable of medical coding and third-party operating procedures and practices

Environmental/Working Conditions:  Ability to work in an environment with exposure to potentially dangerous/infectious materials and situations that require following extensive safety precautions that may include the use of personal protective equipment (PPE).  Occasional overtime may be required and/or hours may be shortened as business needs dictate.

Physical Demands:  Ability to perform moderate physical activity.  May require handling/lifting of objects (up to 50 pounds) or standing/sitting/walking for more than four (4) hours per day.  Prolonged use of computer and/or telephone may be required.

This description is intended to provide only basic guidelines for meeting job requirements.  Responsibilities, skills and working conditions may change as needs evolve.