Billing Services Director

Ensemble Health Partners•Charlotte, NC

2d•Hybrid

About The Position

The Director, Billing Services is responsible for leading and optimizing end-to-end billing operations across assigned clients or service lines. This role provides strategic and operational leadership focused on improving billing accuracy, accelerating cash flow, reducing denials, and ensuring compliance with regulatory and payer requirements. The Director partners closely with cross-functional teams—including coding, accounts receivable, client delivery, and technology—to drive performance, standardization, and continuous improvement across billing workflows. This role requires approximately 10% travel to support key client engagements and leadership initiatives.

Requirements

Bachelor’s degree required
7+ years of progressive leadership experience in healthcare billing, revenue cycle, or related operations
Strong knowledge of professional and/or hospital billing processes, workflows, and payer requirements
Demonstrated success improving billing performance metrics and operational efficiency
Experience leading multi-site or multi-client billing operations
Strong analytical and problem-solving skills with the ability to leverage data for decision-making
Proven ability to lead cross-functional initiatives and influence stakeholders at all levels
Excellent communication, leadership, and client-facing skills

Nice To Haves

Master’s degree preferred (Healthcare Administration, Business, or related field)

Responsibilities

Lead day-to-day billing operations, including charge capture, claim submission, edits/work queues, and billing accuracy
Drive process improvements to enhance clean claim rate, reduce rework, and accelerate reimbursement timelines
Partner with Coding, A/R, and Denials teams to ensure alignment across the revenue cycle and reduce downstream issues
Monitor key performance indicators (KPIs) such as clean claim rate, billing lag, denial rates, and cash conversion metrics
Identify trends and root causes of billing errors, edit failures, and payer denials, implementing sustainable solutions
Ensure compliance with CMS regulations, payer guidelines, and internal policies across all billing functions
Oversee and standardize workflows, policies, and procedures to support consistency and scalability across teams
Serve as an escalation point for complex billing issues, payer disputes, and client concerns
Partner with Technology and Operations teams to optimize billing systems, automation, and reporting capabilities
Lead, mentor, and develop high-performing teams, fostering a culture of accountability and continuous improvement