Medical Billing Operations Director

2 days ago


Sterling Heights, Michigan, United States Specialty Medical Center Full time
Job Overview

Specialty Medical Center is seeking an experienced Healthcare Revenue Manager to lead the development of a new in-house billing department. This role involves building and managing a team responsible for medical billing, coding, claims management, and collections.

Key Responsibilities:

  • Department Development: Establish and develop an in-house revenue cycle department, including designing workflows, setting up systems, and implementing best practices for medical billing and revenue management.
  • Team Building & Leadership: Recruit, train, and manage a team of billing specialists, coders, and collections staff. Provide leadership and support to ensure a high-performing, collaborative team environment.
  • Revenue Cycle Management: Oversee all aspects of the revenue cycle, including patient registration, charge capture, claims submission, payment posting, and collections. Ensure accurate and timely billing and coding to maximize revenue and minimize errors or delays.
  • Process Improvement: Implement and monitor systems and processes to optimize revenue cycle operations, including reducing denials, streamlining workflows, and enhancing the patient billing experience. Collaborate with clinical and administrative teams to improve communication and reduce inefficiencies.
  • Regulatory Compliance: Ensure compliance with all applicable healthcare regulations, including HIPAA, CMS, and payer-specific guidelines. Stay up-to-date with changes in billing and coding regulations and adjust processes accordingly.
  • Reporting & Analysis: Develop and maintain financial and operational reports to track key performance indicators (KPIs) for the revenue cycle department. Present data-driven insights to leadership and recommend actions to improve financial performance.


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