Director of Billing

Brennan Behavior Group•Metairie, LA

7d•Onsite

About The Position

The Director of Billing oversees the daily operations and performance of Brennan Behavior Group’s billing department. This position leads a team of four to six billing employees and ensures claims are submitted accurately and timely, accounts receivable is actively managed, denials are resolved, and billing procedures are consistently followed. The Director provides leadership, training, accountability, and support to the billing team while maintaining a strong understanding of daily billing operations. The ideal candidate is organized, detail-oriented, analytical, comfortable working with insurance companies, and able to identify problems and implement effective solutions. The Director works independently and keeps the CEO informed of department performance, concerns, opportunities, and recommendations for improvement.

Requirements

High school diploma or equivalent.
Minimum of 10 years of experience in medical billing, healthcare billing, revenue cycle management, or a related field.
Experience supervising, leading, or training billing staff.
Experience with insurance claims, denials, and accounts receivable.
Experience with Medicaid and commercial insurance.
Strong computer skills, including Google Workspace.
Strong organizational and time-management skills.
Excellent attention to detail.
Ability to analyze billing information and identify discrepancies.
Strong written and verbal communication skills.
Ability to maintain confidentiality and comply with HIPAA requirements.
Ability to work independently and manage multiple priorities.

Nice To Haves

Experience with ABA therapy or behavioral healthcare billing.
Experience with Louisiana Medicaid.
Experience with commercial insurance payers.
Experience with insurance authorizations.
Experience with clearinghouses and electronic claim submission.
Experience with EHR and medical billing systems.
Previous billing team management experience.
Experience with AR cleanup, denials, and appeals.

Responsibilities

Lead and oversee a team of four to six billing employees.
Assign and monitor daily responsibilities and workload.
Establish expectations for productivity, accuracy, timeliness, and follow-through.
Monitor team performance and address concerns as needed.
Provide coaching, guidance, and training.
Assist employees with complex billing and insurance issues.
Monitor attendance, timeliness, productivity, and completion of assigned responsibilities.
Promote accountability while maintaining a professional and supportive work environment.
Identify training needs and provide ongoing education.
Escalate significant performance concerns to the CEO.
Oversee creation, submission, and monitoring of insurance claims.
Ensure claims are accurate and submitted within payer filing deadlines.
Review billing activity for accuracy and completeness.
Monitor claim rejections and ensure corrections are completed promptly.
Ensure required modifiers, documentation, authorizations, and insurance information are included.
Monitor electronic claims and clearinghouse activity.
Ensure staff follow established billing procedures and payer requirements.
Assist with billing and claim follow-up when necessary.
Monitor outstanding claims and accounts receivable.
Review aging reports and prioritize claim follow-up.
Ensure aging claims are consistently worked within timely filing requirements.
Monitor high-dollar and aging claims.
Identify trends contributing to outstanding balances.
Develop strategies to reduce aging AR.
Track unresolved claims and ensure appropriate follow-up.
Escalate significant or unresolved AR concerns to the CEO.
Monitor claim denials and identify recurring trends.
Ensure denied and rejected claims are researched and corrected promptly.
Coordinate collection of required medical records and documentation.
Submit corrected claims, reconsiderations, and appeals as appropriate.
Track appeals and ensure timely follow-up.
Identify opportunities to prevent recurring denials.
Educate billing staff on common billing errors and denial prevention.
Monitor insurance eligibility and authorization-related billing concerns.
Assist with resolving authorization issues affecting claims or payment.
Communicate with insurance representatives regarding claim status, denials, authorizations, and payment issues.
Maintain accurate documentation of insurance communications.
Track and address time-sensitive insurance requirements.
Monitor and report billing department KPIs.
Maintain accurate billing reports and tracking spreadsheets.
Provide regular performance updates to the CEO.
Monitor trends in claims submitted, rejected and denied claims, aging AR, payments, adjustments, outstanding claims, authorizations, and insurance verification.
Identify operational concerns and recommend solutions.
Maintain accurate Google Sheets, Google Drive, and other electronic billing records.
Evaluate billing processes and identify opportunities for improvement.
Develop and implement standardized billing procedures.
Improve efficiency, reduce errors, and increase collections.
Implement improvements to billing workflows.
Assist with billing audits and quality-control reviews.
Ensure staff consistently follow established processes.
Communicate professionally with insurance companies, clients, and internal staff.
Collaborate with clinical, scheduling, administrative, and leadership teams to resolve billing concerns.
Communicate documentation or authorization concerns to appropriate team members.
Maintain confidentiality when handling protected health information.
Escalate significant billing concerns to the CEO in a timely manner.