About the Role
The Billing Director will oversee all billing and revenue cycle operations at STAMA Integrated Health Solutions LLC, ensuring accuracy, efficiency, and compliance with healthcare regulations. This role is responsible for leading a team in managing billing procedures, claims processing, collections, and financial reporting. The ideal candidate will bring expertise in healthcare billing, revenue cycle management, and team leadership, contributing to the organization’s financial stability and growth.
Requirements
Key Responsibilities:
Billing Operations Management
Oversee all billing processes, including claims submission, coding accuracy, collections, and payment posting, to ensure efficient and accurate billing.
Develop and implement billing policies and procedures that comply with industry standards and improve operational efficiency.
Regularly review billing workflows, identifying opportunities to streamline processes and improve revenue cycle outcomes.
Revenue Cycle Optimization
Lead revenue cycle management efforts to optimize cash flow, reduce claim denials, and minimize outstanding accounts receivable.
Monitor key performance indicators (KPIs) such as claim submission turnaround time, collection rates, and denial resolution rates.
Develop strategies to reduce billing errors, expedite reimbursements, and enhance overall revenue cycle performance.
Compliance & Regulatory Adherence
Ensure all billing activities comply with federal, state, and local healthcare regulations, including HIPAA and Medicare/Medicaid guidelines.
Maintain up-to-date knowledge of coding (ICD-10, CPT), billing guidelines, and payer requirements.
Conduct regular audits of billing records, claims, and transactions to ensure accuracy and identify areas for improvement.
Team Leadership & Development
Lead and mentor the billing team, fostering a culture of accountability, accuracy, and continuous learning.
Conduct performance evaluations, set clear goals, and provide feedback to support team growth and professional development.
Organize and deliver training sessions on billing best practices, regulatory updates, and compliance requirements.
Claims & Denial Management
Manage the claims process from submission to payment, ensuring timely and accurate processing of all claims.
Oversee denial management, developing procedures for quick and effective resolution of denied or rejected claims.
Collaborate with payers to resolve complex issues, identify root causes of denials, and implement corrective actions to prevent future occurrences.
Financial Reporting & Analysis
Prepare and analyze billing reports, including revenue forecasts, collection summaries, and aging accounts receivable.
Collaborate with the finance team to provide insights into revenue trends, cash flow, and financial performance.
Generate monthly, quarterly, and annual reports for leadership, offering actionable insights to support financial decision-making.
Patient & Payer Relations
Act as the main point of contact for payer inquiries, negotiations, and contract compliance.
Address patient billing inquiries and concerns, ensuring clear and compassionate communication regarding billing policies and account status.
Implement patient-friendly billing practices that improve patient satisfaction and reduce billing-related grievances.
Technology & System Optimization
Oversee the use and optimization of billing software, electronic health record (EHR) systems, and other billing-related technologies.
Collaborate with the IT team to implement system upgrades, resolve technical issues, and enhance system functionality for billing processes.
Identify and implement technology solutions that support efficient billing and revenue cycle management.
Qualifications:
Education: Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field (Certified Revenue Cycle Professional or similar certification preferred).
Experience: Minimum of 5 years of experience in healthcare billing or revenue cycle management, with at least 3 years in a supervisory or management role.
Skills:
In-depth knowledge of billing processes, coding standards, and regulatory compliance in healthcare.
Strong leadership, organizational, and analytical skills.
Proficient in billing software, EHR systems, and Microsoft Office Suite.
Excellent communication and interpersonal skills, with a patient-centered approach to customer service.
Ability to work collaboratively with finance, clinical, and IT teams.
Preferred Attributes:
Familiarity with Medicare, Medicaid, and commercial payer requirements.
Proven experience in denial management, claims resolution, and payer negotiation.
Commitment to maintaining compliance and financial integrity within billing operations.
Compensation & Benefits:The compensation package includes a competitive base salary, performance-based incentives, health benefits, and opportunities for professional development.
About the Company
STAMA Integrated Health Solutions LLC is a trusted provider of comprehensive healthcare services, dedicated to delivering quality patient care and operational excellence. We are committed to enhancing our financial and administrative functions to support sustainable growth. We are seeking a highly organized and experienced Billing Director to oversee our billing operations, ensure compliance, and optimize revenue cycle management.