What are the responsibilities and job description for the Director of Billing position at Altea Healthcare?
The Director of Billing is responsible for the strategic oversight and operational performance of the billing department for a provider services group. This role ensures timely, accurate billing and collections while maintaining compliance with healthcare regulations and payer requirements. The Director will lead a team of billing and provider enrollment professionals, optimize billing processes, and collaborate with internal and external stakeholders to maximize revenue cycle efficiency.
Key Responsibilities:
- Oversee all day-to-day billing operations for the provider services group, including charge entry, claims submission, payment posting, and denial management.
- Develop and implement best practices for efficient billing workflows and revenue cycle performance.
- Monitor KPIs (e.g., days in A/R, denial rates, collection rates) and implement strategies for continuous improvement.
- Ensure compliance with federal, state, and payer-specific billing regulations, including Medicare and Medicaid guidelines.
- Work closely with physicians, clinical staff, and administrative leadership to ensure accurate charge capture and documentation.
- Lead, mentor, and manage billing and provider enrollment staff, fostering a culture of accountability, professionalism, and continuous learning.
- Collaborate with IT and EMR platform and vendors to optimize system performance and integrations.
- Serve as the key point of contact for audits, payer inquiries, and compliance reviews.
- Prepare and present regular billing performance reports to executive leadership.
Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (Master’s preferred).
- Minimum of 7 years of progressive experience in medical billing, with at least 3 years in a leadership role.
- Deep understanding of physician billing, CPT/ICD coding, payer guidelines, and reimbursement models.
- Experience with electronic health records (EHRs) and practice management systems.
- Strong analytical skills with experience managing revenue cycle metrics and process improvement initiatives.
- Excellent leadership, communication, and interpersonal skills.
- CPC or CPB certification a plus.
Preferred Experience:
- Multi-specialty and outpatient provider services group billing.
- Experience working in a fast-paced, growth-oriented healthcare environment.
- Familiarity with telehealth billing, value-based care models, or risk-adjusted coding.
