Director of Billing

Responsibilities

• Provide strategic oversight of the Therapy at Home revenue cycle, including patient onboarding, billing, collections, accounts receivable, claims submission, denial management, and reimbursement optimization.
• Lead and develop the administrative and billing team to achieve operational and financial goals.
• Establish performance standards, key metrics, and accountability measures across all revenue cycle functions.
• Monitor revenue cycle performance and implement process improvements to maximize reimbursement and cash collections.
• Oversee front-end patient intake processes, including insurance verification, benefit review, patient financial responsibility, and system setup.
• Ensure accurate and timely billing, payment posting, claim follow-up, and resolution of reimbursement issues.
• Partner with clinical and operational leaders to improve workflow efficiency and support program growth.
• Develop, implement, and maintain policies and procedures that promote consistency and scalability across all markets.
• Ensure compliance with Medicare, commercial payer, and regulatory billing requirements.
• Serve as the department subject matter expert for Part B reimbursement, coding, payer updates, and billing regulations.
• Oversee credentialing and payer enrollment processes to support timely billing and reimbursement.
• Provide ongoing education and guidance to operational and clinical teams regarding reimbursement and compliance requirements.
• Develop and maintain reporting related to revenue cycle performance, reimbursement trends, denials, collections, and operational effectiveness.
• Analyze data to identify opportunities for process improvement, reimbursement enhancement, and risk mitigation.
• Collaborate with leadership to support strategic initiatives and long-term growth of the Therapy at Home division.
• Foster a culture of accountability, service excellence, collaboration, and continuous improvement.
• Lead projects and initiatives that enhance operational effectiveness and patient experience.

Qualifications

• Associate or Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field; equivalent experience may be considered.
• Minimum of 3 years of progressive healthcare revenue cycle experience.
• Minimum of 3 years of leadership or management experience.
• Strong knowledge of Medicare Part B billing, revenue cycle management, reimbursement methodologies, and payer requirements.
• Experience with claims management, denials, collections, insurance verification, and patient financial responsibility.
• Experience developing policies, procedures, and operational workflows.
• Proficiency with Microsoft Office applications and healthcare practice management systems.
• Experience with Net Health preferred.