Director Of Billing Services

Director Of Billing Services

Syracuse, NY

Lead. Transform. Drive Results.

Are you an experienced medical billing leader who knows how to turn revenue cycle challenges into measurable results?

MedBest Medical Management is seeking an experienced Director of Billing to lead our billing operations and drive continuous improvement across the full revenue cycle. This is a key leadership role for an individual who understands the complexities of healthcare billing, payer reimbursement, denial management, and collections—and who is passionate about developing teams, improving processes, and delivering results.

Under the general supervision of the Director of Administration, the Director of Billing is responsible for the full revenue cycle operations and driving the continuous improvement in collections, payer reimbursement, and financial optimization. This position leads the billing department, streamline processes, recruits and develops talent, and drives strategic improvements to reduce errors, accelerate cash flow, and strengthen organizational controls. This role works frequently with SUNY Upstate leadership, clients, insurance carriers and closely with MedBest operational management including the Director of Human Resources, and Director of Audit & Compliance.

What You'll Do

Leadership & Strategy:

• Supervise, direct and manage the billing department including supervisors and specialists.
• Monitor employee performance; conduct reviews, make recommendations for promotions and salary adjustments. Assist new supervisors with reviews to mentor and develop skills.
• Communicate clear expectations to employees. Provide ongoing feedback and coaching. Counsel employees; make recommendations for discipline, handle complaints and grievances.
• Provide ongoing training and development of billing supervisors and team leaders through regular operational meetings.
• Screen, select, and interview billing applicants and make recommendations for employment consideration. Utilize online recruitment avenues to advertise and contact candidates.
• Organize and drive regular new hire training program and competency monitoring.
• Develop and execute billing strategies that improve accuracy, efficiencies, and drive cash flow and reimbursement.
• Establish key performance indicators (KPIs) to monitor billing performance and lead continuous workflow improvement initiatives.
• Collaborate with both client and operational leadership to align billing operations with revenue cycle goals.

Financial Management:

• Monitor daily, weekly, and monthly billing metrics and reporting to communicate results.
• Analyze payer AR and balance trends, denial patterns, and reimbursement variances to identify root cause issues and execute corrective actions.
• Spearhead initiatives that drive reimbursement, minimize AR and denials, and strengthen collections.
• Prepare ad hoc reports for the client(s), supervisors, and staff. Assist with report creation and interpretation.

Compliance & Quality Assurance:

• Ensure compliance with CMS, Medicaid, commercial payer rules, HIPPA, and all federal/state regulations.
• Work closely with Director of Audit & Compliance and drive internal audits, documentation Standards, and corrective action plans.
• Maintain knowledge of carrier regulations, policies and procedures that support compliant billing and coding practices.
• Interact with various third-party payors on an as needed basis.

Position Requirements (minimum)

Education (including license, registration, and/or certifications, if applicable)

• Bachelor’s degree in healthcare administration, Business, Finance, or a related field.

Experience

• 5–7+ years of progressive medical billing or revenue cycle experience, or an equivalent combination of education and experience.
• 3–5+ years of leadership or supervisory experience.
• Strong knowledge of healthcare payer rules, reimbursement methodologies, and regulatory requirements.
• Demonstrated success improving KPIs, reducing denials, and driving collections and revenue.
• Extensive experience with Epic electronic medical records.

Knowledge, Skills, Abilities required:

The ideal candidate will have:

Must have a thorough understanding of both ICD-10 and CPT coding. Must understand coordination of insurance benefits. Must be an effective leader in assigning duties and monitoring completion. Must have thorough knowledge of charge and payment posting, insurance AR follow up, denial management, and collection process. Must have clear understanding of Workers’ Compensation. Must be able to master the use of various billing platforms. Must be able to interact and communicate effectively with other healthcare professionals including client and physician leadership, office staff, patients and public.

Working Conditions/Physical Demands (quantified):

Candidates must be able to work onsite. This position directly oversees staff, operations, and in-person workflows. Normal office conditions. Must be able to sit for prolonged periods of time. Extensive keyboard use is required. Ability to use a telephone and fax with proficiency. May be required to lift up to 50 pounds. May be required to travel for consulting and special project assignments.

Alternative to Minimum Qualifications:

Will consider an equivalent combination of education and experience.

Why This Opportunity?

Generous benefits package available. Our benefits package includes health, dental and vision insurance, and eligibility for employer-funded 401(k) contributions of up to 8% (3% quarterly employer contribution plus up to an additional 5% annual employer contribution, subject to the vesting schedule). Tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays.

L5: $92,000 - $147,200. Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. The salary range depicted is based on full-time, 1.0 FTE and would be prorated accordingly for less than 1.0 FTE.

Apply now at www.upstate.edu/hr/jobs/ Search for Position #91120. MedBest is affiliated with and supports the mission of Upstate University Health System. Equal Opportunity Employer. To learn more about MedBest and our open positions, please visit our website at: www.medbest.org

If you are a result-driven healthcare billing professional who enjoys solving complex revenue cycle challenges, developing people, and creating better ways of doing things, we'd like to hear from you!

Location: Syracuse, NY
Work Arrangement: On-site
Position: Full-Time Leadership Opportunity