Director of Medical Billing

Unique opportunity for a medical billing director.

We are a management services company that strive to make the lives of their clients easier.

We are seeking an experienced and detail-oriented Billing Director to lead and oversee all aspects of our revenue cycle and billing operations. The ideal candidate must have direct experience billing for anesthesiology, pain management, and ambulatory surgery centers (ASCs). Experience managing both in-network and out-of-network (OON) claims is strongly preferred, but not required. Experience with the Federal IDR/NSA process is strongly preferred.

This leader will be responsible for optimizing billing performance, improving collections, ensuring compliance, managing staff and vendor relationships, and driving accountability across the revenue cycle.

Key responsibilities include overseeing all billing and revenue cycle operations for anesthesiology, pain management, and ASC services; managing charge capture, claim submission, payment posting, denial management, appeals, AR follow-up, and patient billing processes; monitoring billing workflows to ensure timely and accurate claim submission and reimbursement; leading efforts to improve collections, reduce denials, and shorten days in accounts receivable; analyzing billing trends, payer behavior, reimbursement patterns, and operational bottlenecks; developing and reporting key revenue cycle metrics; ensuring compliance with federal and state billing regulations; collaborating with physicians, administrators, coders, credentialing staff, and outside billing partners/vendors; overseeing payer-specific processes for commercial, Medicare, Medicaid, workers’ compensation and others; maintaining standardized billing policies and internal controls; supervising and training billing team members; identifying opportunities for process improvement; assisting leadership with forecasting and strategic planning; supporting escalated claim issues and high-value account recovery; and participating in payer dispute resolution and appeals strategies.

The ideal candidate is proactive, accountable, financially minded, and able to see both the big picture and operational details. This person is comfortable leading people, solving reimbursement problems, improving systems, and maximizing revenue while maintaining compliance.

Preferred qualifications include experience with in-network and out-of-network billing and collections, anesthesia billing nuances, interventional pain coding/billing, ASC facility billing, familiarity with payer contracting, reimbursement analysis, appeals strategy, and relevant certifications (CPC, CPB, CMRS).