Director, Billing Job Description

Director, Billing Job Description

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Director, billing provides one-on-one and group training to faculty physicians, advanced practitioners, billing and coding staff, Compliance Department team members and others to ensure compliance with federal and state regulations and laws, CMS and other third party payor billing rules, and internal documentation, coding and billing policies and procedures.

Director, Billing Duties & Responsibilities

To write an effective director, billing job description, begin by listing detailed duties, responsibilities and expectations. We have included director, billing job description templates that you can modify and use.

Sample responsibilities for this position include:

Champion, design and implement the end to end merchant and partner billing experience, including capabilities to support various pricing models, billing types, receivables management, reporting and billing related analytics
Lead the billing team in creation of best practices for billing documentation
Overseeing the billing and coding staff to ensure that billing and coding standards are being adhered to
Lead continuous improvement initiatives related to billing operational efficiencies, including designing and implementing customers and internal stakeholders’ reporting, analytics and KPIs to ensure the billing is complete, accurate, current and that revenue is optimized and assured
Documentation Project – Lead the billing team in the creation of billing-related documentation
Update and verify patient Billing Reports
Develop and monitor the systems to ensure the accuracy billing data
Oversee administration and maintenance of electronic billing and remittance software
Ensure billing reports are reviewed appropriate corrective actions are taken if necessary
Oversee all aspects of transactional billing, Client Accounting activities of a very high volume, multi-currency and multi-location

Director, Billing Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Director, Billing

List any licenses or certifications required by the position: CPC, PMP, CPA, AHIMA, AAPC, CIA, PMI, CPR, LEAN, MS

Education for Director, Billing

Typically a job would require a certain level of education.

Employers hiring for the director, billing job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Business, Education, Finance, Accounting, Management, Business/Administration, Healthcare Administration, MBA, Healthcare, Leadership

Skills for Director, Billing

Desired skills for director, billing include:

Federal
ADT and coding applications
Epic HB
Excel and other Microsoft Office products
Internal Deluxe production and finance systems
SAP and other finance applications used by the company
State and third-party reimbursement laws and regulations
Billing
Billing and collections
CPT-4 procedural coding methodology with ICD-10

Desired experience for director, billing includes:

Develop and monitor staff productivity and quality metrics
Submit Claims to appropriate Insurance Companies
Post Payments and Denials
Develop efficient procedures to follow up on submitted claims
Develop relationship with managed care organizations to improve the AR follow up process
Track and analyzes reimbursement and denial rationale trends

Director, Billing Examples

1

Director, Billing Job Description

Job Description Example
Our innovative and growing company is looking for a director, billing. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for director, billing
  • Responsible for building and maintaining a high performing patient billing, collections and service team with the skills and capabilities needed to accomplish the goals of the department
  • Leads a large enterprise-wide project with the goal of optimizing all billing activities within the organization, while accepting full responsibility and accountability for project success
  • Effectively persuades and influences senior leadership using proven data and cost-benefit analysis when recommending billing optimization improvements
  • Ensures that effective controls are in place to ensure that project results are sustainable over time as the organization and billing volume continues to grow rapidly
  • Manage hiring, training and development of billing team to ensure the efficient operation of the function and ensure company policies and procedures are followed
  • Develop and complete monthly report with key billing metrics
  • Lead business requirements definition and operational processes design of billing products and services
  • Ensure all market facing billing strategies and functions, including event based, period based and project based are available to support a global customer base of merchants, resellers, acquirers and technology partners
  • Lead commercialization of best-in-class billing services that scale to meet the multi-regional and multi-platform needs of our clients
  • Collaborate with clients, Sales, Sales Operations, Product Management, Product Development, Customer Support, Revenue Operations, Finance and Corporate IT to ensure billing is accurate, timely and optimized for the global business
Qualifications for director, billing
  • Follow up with field staff when issues need to be resolved
  • Ensure consistent processes are in place to support both high volume and high quality
  • Assist in preparation for internal audits
  • Oversee departments service scope, service standards, resource and technology strategies to exceed external client expectations
  • Ensure the department systems of internal controls are designed, maintained, executed, monitored and refined to ensure accuracy, timely and fair reporting of all transactions, completeness and protect the firm’s assets
  • Develop and resource recruitment needs, retention, development and education, and workload management strategies are established and executed
2

Director, Billing Job Description

Job Description Example
Our innovative and growing company is looking to fill the role of director, billing. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for director, billing
  • Audit Assistance – work with billing team and manager to pull information for auditors
  • Consolidate and simplify Advisory billing processes to reflect a client relationship view and tools to help manage Advisory fees
  • Manage the portion of billing that relates to AR cash/payment posting Knowledge of commercial payer and commercial payment activity and related healthcare terminology
  • Supports the Office of Research and the development of clinical research programs by participating in inter-disciplinary committees and workgroups providing oversight and support to ensure compliant processes for billing research related services to third party payers
  • Develop and maintain a well-trained and empowered staff to ensure timely and accurate billing, meet regulatory, legal, compliance and audit requirements and achieve maximum reimbursement and cash flow of hospital AR
  • Oversee Patient Billing, including Medicare, Managed Care, Medi-Cal, WC, Medi-Cal Managed Care, Medicare Managed Care, Transplant, Special Programs and all others
  • Monitor the performance of the Billing, Payment Posting and Mail Triage functions within PBS
  • Work with cross functional teams to address business and system issues and assist in their implementations
  • Creates a detailed project plan including specific target dates and milestones for key phases of the project from current state analysis to future state implementation, and then follows that plan to its timely completion
  • Collaborates with key internal stakeholders, business partners, and senior leadership in gathering and suggesting important requirements for success while also providing regular project status updates
Qualifications for director, billing
  • Ability to communicate and work well with individuals at all levels within the company
  • Experience with a very high volume of Client Accounting activities, multi-currency, multi-location ideally with a Law Firm or other Professional Services environment
  • Previously developed resource strategies to meet business needs
  • Previously demonstrated the ability to lead, mentor and motivate staff
  • Minimum 7 years of relative experience
  • 5+ years in hospital, health or other medical setting
3

Director, Billing Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of director, billing. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for director, billing
  • Manages and directs a team to meet to meet the goals and timeline expectations of senior management
  • Leads all organizational change management efforts in partnership with key business leaders, while identifying key change agents throughout the organization that can help facilitate the changes
  • Provides additional expertise and support for other continuous improvement efforts within the organization as needed
  • Responsible for the timely submission of claims monitoring and follow-up
  • Establish core applications, tools, workflows and underlying platform designs for Inception and Updates to drive innovation and optimize FA experience in delivering advice
  • Drive simplification and efficiency in provision of investment advice through FA/CSA/Branch Manager applications
  • Work with platform team to streamline inception, updates, and maintenance by consolidating multiple product specific platforms into a single product agnostic workflow
  • Design new coherent workflows to support inception, updates, and maintenance across a client portfolio that intuitive addresses the needs of the various user roles involved
  • Work closely with cross functional leaders and Advisors, CSA, and Branch Managers to build best of breed tools delivering portfolio advice
  • Participate on field marketing calls and provide updates on platform workflow changes
Qualifications for director, billing
  • Previous experience leading a QA or Revenue Assurance team
  • Ability to develop and implement best practices for quality assurance
  • Ability to have a keen marketing eye and guide a creative process of content generation
  • Extensive use of a PC which requires normal or corrected visual acuity, dexterity sufficient to use a PC keyboard
  • Must have normal or correction vision to clearly communicate verbally by phone or in person
  • Certification in Lean and/or Six Sigma, preferably certified by ASQ or SME
4

Director, Billing Job Description

Job Description Example
Our innovative and growing company is looking to fill the role of director, billing. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for director, billing
  • Ensuring company billing practices adhere to applicable governmental and payor regulations and policies
  • Collaborating with departments to prepare for acquisitions and assimilate acquired businesses into the billing and collection processes and procedures
  • The Director, Customer Onboarding and Billing Services will be responsible for management and oversight of accurate and timely customer setup, enrollments, and invoice production of standard and complex natural gas and electricity commodity and non-commodity services customers 
  • Oversee Billing team responsible for all activities related to invoicing sales of natural gas, electricity, and other energy products 
  • Oversee all onboarding and billing activities non-commodity products and services 
  • Accountable for the completeness, accuracy, and timeliness for commodity and non-commodity customer onboarding and billing 
  • Oversee evaluation of effectiveness of onboarding and billing work functions and implements changes to policies, procedures and systems as appropriate to support both standard transactions and customized solutions for complex transactions and key customers 
  • Ensure proper controls are in place and operating effectively for all onboarding and billing activity to comply with internal and external control requirements in order to minimize company risk 
  • Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact patient accounting
  • In collaboration with the Director of Residence Life and the Associate Director of Housing Services, oversee and coordinate opening and closing procedures at the beginning and end of semester breaks and vacation periods
Qualifications for director, billing
  • 8+ years of post-graduation working experience
  • 2+ years of previous experience managing/supervising a team
  • 3 years practicing Lean Six Sigma, including a minimum of 9 documented projects such as DMAIC, Value Stream Mapping and Kaizen events
  • Proven ability to drive continuous improvement of product design, program management, and business processes
  • Lean and/or Six Sigma Black Belt certification
  • 10+ years of relevant experience in a technology leadership role
5

Director, Billing Job Description

Job Description Example
Our company is growing rapidly and is hiring for a director, billing. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for director, billing
  • Assisting in resolving complex billing issues
  • Create a vision that supports exceptional experiences for our customers while ensuring data integrity and compliance across billing, finance, regulatory, and reinsurance
  • Actively support and comply with all university policies, Housing regulations and departmental vision and goals
  • Is considered a designated employee for Housing with regards to severe weather, campus emergencies, and other significant Housing events, including Opening and Closing
  • Perform other duties as assigned by the Chief Housing Officer, Director of Housing Services and Finance and the Associate Director of Housing Services
  • Serve in the role of Associate Director of Housing Services in their absence
  • Manage and/or support the full life-cycle of partners, select, evaluate, contract, maintain, govern and terminate
  • Participates as appropriate in continuing education programs and activities that pertain to health care management specific functional areas
  • Manage claims production to achieve and exceed operating goals, service level agreements and regulatory, legal, compliance and audit standards
  • Implement, analyze and report on key factor reports for tracking and managing the performance of the department
Qualifications for director, billing
  • Experience in working with contact center technologies, specific to ordering and billing
  • Extensive knowledge of container-based application deployment with tools like Docker or other Microsoft cloud container solutions
  • Demonstrated leadership experience delivering major systems for a call center environmen
  • Expertise managing several small teams that are responsible for a set of micro-service
  • Experience working in a public cloud environment, with expertise in cloud technologies and cloud platform migratio
  • DevOps tools and technologies and Agile methodolog

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