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.