Director of Revenue Cycle Management
2 weeks ago
Solution Based Therapeutics (SBT) is seeking a highly skilled and experienced Director of Billing to lead our billing department. As a key member of our finance team, you will be responsible for overseeing and managing the billing and collections functions within our organization.
The ideal candidate will have a strong background in healthcare billing, with a minimum of 5 years of experience in a leadership or management role. You will be responsible for ensuring accurate billing procedures are followed, payments are processed in a timely manner, and compliance with healthcare regulations and insurance requirements is maintained.
As a Director of Billing, you will lead a team of billing specialists, develop best practices, and drive efficiency and profitability within the billing department. You will also be responsible for monitoring team productivity and performance metrics, identifying areas for improvement, and collaborating with the finance department to review accounts receivable reports and identify trends in billing, collections, and denials.
We are looking for a highly motivated and organized individual with excellent leadership, communication, and analytical skills. If you have a passion for healthcare and a strong background in billing, we encourage you to apply for this exciting opportunity.
Key Responsibilities- Leadership & Management:
- Lead and supervise the billing team, providing guidance, mentorship, and performance evaluations.
- Develop and implement billing policies and procedures to ensure timely, accurate, and compliant billing.
- Monitor team productivity and performance metrics, identifying areas for improvement.
- Billing Operations:
- Oversee daily billing activities including claim submissions, payment posting, and reconciliation.
- Ensure accurate processing of billing for all services rendered, including private insurance, Medicare, Medicaid, and self-pay accounts.
- Work closely with clinical and administrative teams to resolve discrepancies in patient documentation and billing.
- Compliance & Regulatory:
- Ensure compliance with all federal, state, and local regulations related to healthcare billing (e.g., HIPAA, CMS guidelines).
- Stay up to date on billing regulations, coding changes, and insurance updates, and communicate any changes to the team.
- Financial Reporting & Analysis:
- Collaborate with the finance department to review accounts receivable reports and identify trends in billing, collections, and denials.
- Prepare and present financial reports related to billing, collections, and payer reimbursements to executive leadership.
- Analyze reimbursement rates and payer contracts to optimize revenue.
- Customer Relations:
- Serve as the point of contact for escalated billing issues from patients, payers, and internal staff.
- Work closely with insurance companies to resolve disputes and ensure timely payments.
- Education:
- Bachelor's degree in healthcare administration, business, finance, or a related field. A master's degree is a plus.
- Experience:
- Minimum of 5 years of experience in healthcare billing, with at least 2 years in a leadership or management role. Experience in a rehabilitation or behavioral health setting is preferred.
- Skills:
- Strong knowledge of billing systems, medical coding (CPT, ICD-10), and healthcare reimbursement processes.
- Familiarity with insurance verification, claim submission, and denial management processes.
- Excellent leadership, communication, and organizational skills.
- Proficiency in billing software and electronic medical records (EMR) systems.
- Analytical mindset with the ability to work with financial data and prepare reports.
Solution Based Therapeutics specializes in providing top-tier staffing solutions for behavioral health facilities across California. We are committed to enhancing healthcare services by connecting skilled professionals with rewarding opportunities. Our team values excellence, integrity, and collaboration, ensuring that both our clients and employees thrive in a supportive and dynamic environment.
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