Director of Business Office

Position Purpose

The Director of the business office is responsible for the strategic oversight, operational leadership, and continuous improvement of hospital and professional billing functions. This role ensures the accurate, timely, and compliant submission of claims for all facility and provider services, while aligning billing operations with organizational financial goals and regulatory requirements.

The Director of Billing provides leadership and direction to billing managers and staff across hospital and professional service lines, establishing standardized workflows, performance metrics, and quality controls that drive optimal reimbursement and minimize denials. The position partners closely with coding, clinical departments, payor relations, compliance, and patient financial services to promote end-to-end revenue cycle integrity, resolve complex billing issues, and enhance overall financial performance.

In addition, the Director of Billing is accountable for monitoring key performance indicators, implementing best practices, and leveraging technology to improve efficiency, transparency, and patient experience. This role fosters a culture of accountability, collaboration, and continuous improvement, ensuring that billing operations support the organization’s mission, regulatory obligations, and long-term financial sustainability.

Nature and Scope

The Director of Billing provides comprehensive leadership for all hospital and professional billing activities, including claim production, edits and charge reconciliation, timely submission, denial prevention and resolution, credit balance management, and compliance with federal and state regulations as well as third-party payor requirements. Key accountabilities include achieving established performance metrics for clean claim rate, days in accounts receivable, denial rates, cash collections, and productivity standards; ensuring adherence to policies and internal controls; overseeing system optimization and billing work queue management; supporting audits and regulatory reviews; and mitigating financial risk through proactive monitoring and issue resolution.

The Director partners collaboratively with coding, clinical departments, revenue integrity, compliance, payor contracting, and patient financial services to promote end-to-end revenue cycle performance. This role is responsible for developing high-performing teams, establishing standardized workflows, implementing best practices and technology solutions, and driving continuous improvement initiatives. The Director fosters a culture of accountability, service excellence, and data-driven decision-making to ensure billing operations effectively support the organization’s mission and long-term financial sustainability.

Key responsibilities and activities include the following:

· Provide strategic and operational leadership for patient access, billing and follow-up, denials management.

· Drive revenue optimization initiatives to improve cash flow, reduce accounts receivable, and minimize denials and write-offs.

· Ensure accurate, timely, and compliant revenue cycle operations in alignment with regulatory and payer requirements.

· Lead performance improvement efforts to enhance efficiency, standardize workflows, and leverage technology solutions

· Monitor, analyze, and benchmark key financial and operational metrics to achieve performance targets.

· Collaborate cross-functionally with clinical, operational, finance, compliance, and IT leaders to align revenue cycle strategy with organizational goals.

· Develop and mentor leadership teams, fostering accountability, engagement, and a culture of continuous improvement.

· Identify and mitigate financial, operational, and compliance risks across revenue cycle functions.

This position does not provide patient care

Disclaimer

The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications

Requirements - Required and/or Preferred