General Summary

Strategically directs the operations of the billing department, including providing day-to-day supervision and training to a team of direct reports. Develops goals, objectives, and measurement standards for the department in alignment with the organization’s strategic operating plan. Ensures that the activities of billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.

Knowledge, Skills, and Abilities Required:

Bachelor’s degree in business or healthcare management. 15+ years managing the revenue cycle of a healthcare organization may be substituted in lieu of degree. 10+ years of relevant experience in revenue cycle management. Must have experience working in a major hospital or health system with revenue upwards of $250 million. A deep understanding of medical billing rules and regulations. Strong working knowledge of CPT and ICD10 codes, HIPAA, HCFA/UB-04 claims, medical terminology, insurance regulations, insurance benefits and appeal processes. Proven ability to perform strategic planning and priority setting for a billing department. Proven track record for improving process efficiencies and problem solving. Strong leadership skills with an ability to motivate direct reports. Detail oriented with excellent communication skills both written and verbal, and interpersonal skills. Intuitive, with excellent analytical and critical thinking skills. Strong research and auditing skills. Expert in Microsoft Office, including Outlook, Word, Excel and Power Point. Experience working with healthcare systems, Electronic Health Record Systems, clearinghouses and payer sites. Certificate in Coding is a plus.

Benefits:

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program

Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.