Director, Hospital Billing Office

Emory Healthcare•Tucker, GA

14h•Remote

About The Position

Provides enterprise-level leadership and oversight for all Hospital Billing (HB) operations, including billing, accounts receivable (AR) follow-up, denials management, and payer relationship management Develops strategic direction, staffing models, and budgets to ensure compliance with payer regulations and organizational policies Leads Senior Managers and Managers across HB functions, drives accountability for enterprise KPIs, and partners with clinical, financial, and administrative leaders to strengthen denial prevention, optimize reimbursement, and accelerate collections Serves as the subject matter expert for hospital billing strategy, payer policy interpretation, and revenue cycle best practices

Requirements

Education - Bachelor's degree in Healthcare Administration, Business, or related field or experience in lieu of degree
Experience - 10 years minimum experience with at least 5 years in a management position
Expert knowledge of hospital billing regulations, payer rules, and AR/denials workflows
Demonstrated success leading enterprise initiatives in a complex healthcare environment
Executive-level communication and leadership skills
Strong financial and operational analysis skills, with ability to interpret revenue cycle KPIs and trends
Advanced proficiency in reporting and analytics tools

Nice To Haves

Master's Degree in Healthcare Administration, Business, or related field
Experience - 12 years minimum experience with at least 7 years in a management position

Responsibilities

Strategic Leadership & Oversight of HB Revenue Cycle: Provides enterprise-level direction for hospital billing, AR follow-up, and denials management
Establishes vision, goals, and performance standards aligned with organizational strategy
Performance Management & KPI Accountability: Monitors and drives achievement of key performance indicators, including AR days, denial rates, cash collections, and payer resolution timelines
Ensures consistent reporting and data-driven decision-making
Team Leadership & Development: Leads Senior Managers, Managers, and Supervisors across HB operations
Ensures effective staffing, professional development, and succession planning to build high-performing teams
Denials Management & Prevention Strategy: Oversees enterprise denial prevention initiatives and ensures effective root cause analysis, payer escalation, and resolution strategies
Partners with clinical and administrative leaders to mitigate future denials
Payer Relationship Management: Serves as executive-level point of contact for Hospital Billing with payer organizations
Builds relationships to resolve systemic issues, interpret contract requirements, and negotiate resolution strategies
Cross-Functional Collaboration: Partners with Revenue Cycle, Finance, Clinical, and Managed Care leaders to align billing operations with broader organizational goals
Supports enterprise initiatives impacting patient access, coding, and collections
Regulatory Compliance & Process Improvement: Ensures adherence to federal/state billing regulations and payer policies
Drives continuous improvement in workflows, technology adoption, and compliance practices
Additional Duties as Assigned