Director of Billing Services

Director of Billing Services -

Lead. Transform. Drive Results.

Salary Range: $92,000–$147,200

Location: Syracuse, NY

Work Arrangement: On-site

Position: Full-Time Leadership Opportunity

We are seeking an experienced Director of Billing Services to lead billing operations and drive continuous improvement across the full revenue cycle. This is a key leadership opportunity for someone with strong expertise in healthcare billing, payer reimbursement, denial management, and collections who enjoys developing teams, improving processes, and delivering measurable results.

The Director will oversee revenue cycle operations with a focus on improving collections, reimbursement, cashflow, operational efficiency, and financial performance. This individual will lead the billing team and partner closely with organizational leadership, technology teams, clients, insurance carriers, and other operational departments.

What You'll Do:

Leadership & Strategy:

Lead, develop, and manage the billing department, including supervisors and billing specialists.

Recruit, train, coach, and develop team members while establishing clear performance expectations.

Develop and execute strategies to improve billing accuracy, efficiency, reimbursement, and cash flow.

Establish and monitor key performance indicators (KPIs) and lead continuous process improvement initiatives.

Partner with leadership and internal stakeholders to align billing operations with broader revenue cycle goals.

Revenue Cycle & Financial Management:

Monitor daily, weekly, and monthly billing metrics and reporting.

Analyze accounts receivable, payer trends, denials, and reimbursement variances to identify root causes and corrective actions.

Lead initiatives to reduce AR and denials, improve collections, and maximize reimbursement.

Prepare and interpret financial and operational reports for leadership and other stakeholders.

Compliance & Quality:

Ensure compliance with CMS, Medicaid, commercial payer requirements, HIPAA, and applicable federal and state regulations.

Partner with compliance leadership on internal audits, documentation standards, and corrective action plans.

Maintain current knowledge of payer regulations, policies, and procedures related to compliant billing and coding practices.

Qualifications:

Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent education and experience may be considered.

5–7+ years of progressively responsible experience in medical billing, ambulatory operations, revenue cycle management, or a related healthcare financial environment.

3–5+ years of leadership experience with demonstrated success managing and developing high-performing teams.

Extensive experience with Epic, including Epic Resolute Professional Billing.

Strong knowledge of healthcare payer rules, reimbursement methodologies, revenue cycle operations, and compliance requirements.

Demonstrated success improving KPIs, charge capture, claims and remittance processes, denial management, collections, and overall revenue performance.

Strong understanding of ICD-10 and CPT coding, coordination of benefits, charge and payment posting, insurance AR follow-up, denial management, collections, and Workers' Compensation.

Strong analytical, communication, leadership, and process-improvement skills.

Why This Opportunity:
This is an opportunity to take on a highly visible leadership role with the ability to make a meaningful impact on revenue cycle performance, operational processes, and team development.

A generous benefits package includes health, dental, and vision insurance; employer-funded 401(k) contributions of up to 8%; tuition reimbursement; and generous paid time off, including vacation, personal time, sick leave, holidays,
and floating holidays.
Location: Syracuse, NY.
Salary will be based on experience, qualifications, internal equity, and market considerations