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Director of Billing Operations

Director of Billing Operations

St Gerard HouseHendersonville, NC, US
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Director Of Billing Services

The Director of Billing Services is a key member of the leadership team responsible for shaping, directing, and optimizing all billing and revenue cycle operations at St. Gerard Center for Autism. This role operates at a strategic level, working in close partnership with the Chief Financial Officer (CFO) and Director of Clinical Operations to ensure financial integrity, regulatory compliance, and the seamless integration of clinical and billing functions. Reporting to the Chief Operating Officer (COO), the Director provides executive-level oversight of billing operations, supervises billing specialists, facilitates the Billing Committee, and ensures that systems and processes are scalable to meet the needs of a growing organization.

The ideal candidate is a strategic thinker and collaborative leader who can balance vision and execution. They will ensure that billing practices not only meet regulatory standards but also reflect the organization's values of client-centered care, efficiency, and accountability.

Reports To : Chief Financial Operator

Supervising Duties : Billing and Authorization Specialists

Work Schedule : Mon-Fri, 9a-5p

Employee Classification : Salary, full-time, exempt

Qualifications

  • Associates Degree required.
  • Bachelor's degree in Business or related field preferred.
  • Minimum 3 years of progressive leadership experience in healthcare billing, revenue cycle management, or financial operations.
  • Demonstrated expertise in medical / behavioral health billing, managed care contracts, payer credentialing, and regulatory compliance.
  • Proven ability to collaborate effectively across executive, clinical, and administrative teams.
  • Strong leadership skills, with a track record of building and mentoring high-performing teams.
  • Advanced skills in data analysis, reporting, and the use of EHR / billing systems.

Essential Duties & Responsibilities

  • Partner with the CFO and Director of Clinical Operations to align billing operations with organizational goals and clinical priorities.
  • Lead the design, implementation, and evaluation of billing policies, procedures, and systems that support organizational growth and sustainability.
  • Serve as chair of the Billing Committee, ensuring effective cross-departmental communication and collaboration.
  • Provide executive-level oversight of billing operations, including charge capture, claims processing, collections, denials management, cash posting, credentialing, and compliance.
  • Develop and monitor key performance indicators (KPIs) for billing operations; present performance reports and strategic recommendations to the COO and CFO.
  • Ensure compliance with all state, federal, and payer regulations, conducting audits and implementing corrective actions when necessary.
  • Supervise, train, and evaluate billing specialists, ensuring equitable workload distribution and professional growth.
  • Provide mentorship and succession planning within the billing team.
  • Foster a culture of accountability, collaboration, and mission alignment within the department.
  • Provide mentorship and strategic planning to Client Services department members.
  • Work closely with the Clinical Operations team to ensure billing accuracy and timeliness in alignment with clinical workflows.
  • Communicate payer updates and regulatory changes to stakeholders, ensuring organization-wide preparedness.
  • Drive initiatives to improve efficiency, reduce denials, and accelerate cash flow.
  • Lead projects to expand billing capacity and implement new technologies or systems as the organization grows.
  • Maintain current knowledge of industry best practices and emerging trends in healthcare billing.
  • Additional Responsibilities

  • Interacts regularly with St, Gerard stakeholders and key St. Gerard Center for Autism Personnel.
  • Uphold all SGCA Values and follow the Center's policies and procedures.
  • Comply and ensure that others are complying with all necessary standards and regulations (HIPAA, Child Care Licensure, DCDEE, BACB, etc.) and maintain any required credential or licensure.
  • Other projects as needed.
  • Summary of Physical Requirements

  • Walking, sitting, standing, bending, reaching, twisting
  • Requires crouching / squatting, kneeling
  • Hand / finger dexterity and writing
  • Benefits

  • Paid Time Off, larger accruals with tenure.
  • 11 Holidays.
  • Health, dental, vision, life insurance, short and long-term disability, critical illness, and accident insurance options offered.
  • 403(b) Matching Retirement Plan.
  • Mileage Reimbursement.
  • Supplies Reimbursement.
  • Access to a strong, collaborative administrative and clinical team.
  • Human interaction that changes lives for the better.
  • Room for advancement and career ladders for growth.
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