What are the responsibilities and job description for the Billing Director position at Achievement Behavior Services?
About the RoleWe’re bringing our billing operations fully in-house, and we’re looking for a seasoned Billing Director to build, lead, and manage the entire billing function from day one. This role is perfect for someone with deep experience in healthcare billing, reimbursement systems, Medicare rules, and payer relations—someone who understands both the strategic and operational sides of revenue cycle management.The Billing Director will design our workflows, implement the right systems, train staff, manage payer relationships, and oversee clean claim submission, payment posting, AR recovery, denials management, and compliance.What You’ll LeadBuild & Launch Our In-House Billing Department• Develop and implement the full billing infrastructure, including workflows, policies, and best practices.• Select and implement billing/claims software and integrate it with existing clinical and operational systems.• Establish KPIs and reporting dashboards for leadership (collections, AR aging, denial rates, turnaround times).Revenue Cycle Management• Oversee end-to-end billing operations including patient claims, eligibility, coding review, charge entry, claim submission, payment posting, and AR follow-up.• Reduce denials and improve collections using proven processes and payer-specific strategies.• Ensure compliance with Medicare, Medicaid, and commercial payer rules.Payer & Regulatory Expertise• Serve as the primary liaison with insurance companies, negotiating resolutions and recovering outstanding revenue.• Maintain up-to-date knowledge of reimbursement rules, payer policies, and regulatory requirements.• Monitor industry changes and proactively adjust workflows to maintain compliance.Team Leadership & Training• Build and supervise a high-performing billing team.• Train staff on systems, workflows, payer rules, denial prevention, and AR recovery techniques.• Partner with clinical and administrative departments to ensure accurate data flow and billing readiness.Data, Reporting & Optimization• Produce executive-level reporting on collections, AR, denials, payer trends, and revenue projections.• Identify bottlenecks, inefficiencies, and revenue leakage—and implement solutions that drive measurable improvement.• Customize reporting features and worklists across systems to improve accuracy and workflow efficiency.What You Bring• Deep experience leading hospital or large healthcare billing operations.• Expertise with Medicare reimbursement, commercial payer contracts, and HMO compliance.• Strong background with major healthcare billing platforms (e.g., Oracle Health/OPAHC, Cerner, Siemens, Eagle 2000). • Proven success improving collections, shortening AR cycles, and reducing denial rates.• Ability to build processes from scratch and guide organizations through major operational transitions.• Excellent communication skills and the ability to collaborate with executives, insurers, and operational teams.Nice to Have• Experience with ABA, behavioral health, or outpatient services (not required but helpful).• Experience navigating credentialing, closed panels, or payer enrollment strategies.Why This Role MattersYou will be the architect of our revenue cycle. The systems and structure you create will directly support the company’s financial stability, growth, and ability to deliver high-quality care. This is a leadership role with long-term growth opportunity.
Salary : $120,000 - $160,000