Director, Billing

This position is based in the United States and is a remote opportunity available nationwide.

About the role

The Director, Billing will lead strategic initiatives designed to improve billing performance, accelerate cash collections, and reduce revenue cycle inefficiencies across a complex multi-client healthcare environment. This high-impact leadership role focuses on identifying root causes, developing scalable solutions, and transforming billing operations. You’ll work closely with Revenue Cycle, Revenue Integrity, Denials Management, Front-End Operations, and client-facing teams to drive measurable improvements. The role combines hands-on analytics with enterprise-level strategy, giving you the opportunity to influence operational priorities and long-term transformation. You’ll also lead and develop a growing team while establishing workflows, frameworks, and best practices that can scale across markets.

Responsibilities

• Lead analysis of denials, rejections, claim edits, and other billing performance indicators to identify trends, root causes, and opportunities for improvement.
• Develop and implement innovative billing optimization strategies that improve operational efficiency, reduce revenue leakage, and strengthen financial performance.
• Drive enterprise-wide initiatives focused on reducing unbilled days, improving claim quality, and accelerating cash collections.
• Partner with Revenue Cycle Operations, Revenue Integrity, Denials Management, Front-End Operations, and client-facing teams to identify issues and implement sustainable solutions.
• Present analytical findings, recommendations, business cases, and process improvement strategies to senior and executive stakeholders.
• Build scalable workflows, operating frameworks, and best practices that support consistent billing performance across multiple clients and markets.
• Lead, mentor, and develop a growing billing optimization team, establishing clear expectations, accountability, engagement, and a culture of continuous improvement.
• Serve as a strategic thought partner in defining the future state of billing operations and identifying opportunities for enterprise transformation.
• Balance strategic leadership with hands-on analytical problem-solving in a fast-paced, continuously evolving healthcare environment.
• Evaluate opportunities to incorporate automation, AI-enabled tools, and emerging technologies into billing workflows and operational processes.
• Monitor the effectiveness of implemented initiatives and use performance data to refine strategies and sustain improvements.

Requirements

• Progressive leadership experience within healthcare revenue cycle operations, with a strong understanding of billing and related revenue cycle functions.
• Demonstrated expertise in root-cause analysis and the ability to translate complex operational challenges into actionable, measurable solutions.
• Experience working across multiple revenue cycle functions and successfully leading process improvement or operational optimization initiatives.
• Advanced critical-thinking, analytical, and problem-solving skills, with the ability to interpret operational data and identify meaningful trends.
• Strong written, verbal, and presentation skills, with the ability to communicate effectively and influence stakeholders at all organizational levels.
• Intermediate to advanced proficiency in Microsoft Excel and experience using data to support operational decision-making.
• Proven ability to lead teams, develop talent, establish accountability, and foster a culture of innovation and continuous improvement.
• Ability to influence change across complex organizational structures and collaborate effectively with cross-functional and client-facing stakeholders.
• Demonstrated adaptability, curiosity, and willingness to challenge traditional approaches in pursuit of better outcomes.
• Experience working in a dynamic, multi-client healthcare environment with competing priorities is strongly valued.
• Familiarity with Epic, Cerner, or other major healthcare information systems is preferred.
• Knowledge of clearinghouse operations and claim management processes is advantageous.
• Experience within a payer, health system, consulting organization, or healthcare technology environment is a plus.
• Exposure to automation and AI-enabled technologies such as Microsoft Copilot, Claude, bots, or workflow automation platforms is preferred.
• Experience leading enterprise transformation or operational excellence initiatives is an advantage.

Benefits

• Base salary range of $88,200-$132,300 USD, with final compensation determined by factors such as geographic location, skills, experience, education, licensure, and internal equity.
• Remote flexibility: Remote opportunity available nationwide within the United States.
• Comprehensive benefits: Healthcare, paid time off, retirement, and well-being programs supporting employees and their families.
• Professional development: Investment in career growth, including opportunities to earn a professional certification relevant to your field.
• Tuition support: Access to tuition reimbursement programs.
• Recognition and incentives: Quarterly and annual incentive programs recognizing strong performance and contributions.
• Leadership opportunity: High visibility and the chance to lead transformative initiatives across a broad healthcare client base.
• Team development: Opportunity to build and grow a high-performing team while shaping billing operations at an enterprise level.
• Innovation-focused environment: Exposure to emerging technology, automation, AI-enabled tools, and continuous improvement initiatives.
• Purpose-driven work: Opportunity to improve healthcare financial operations while contributing to stronger client performance and patient outcomes.
• Collaborative culture: A people-focused environment emphasizing collaboration, growth, innovation, leadership, and work-life flexibility.