Director of Billing

Responsibilities: Lead billing supervisors, team leaders, and staff supporting multiple clinical departments Establish performance expectations and provide coaching, training, and employee development Oversee recruiting, onboarding, and competency development for the billing team Develop and implement strategies to improve billing accuracy, reimbursement, collections, and cash flow Monitor key performance indicators related to claims, denials, accounts receivable, collections, and payment performance Analyze payer trends, reimbursement variances, and denial patterns and implement corrective actions Improve charge capture, claims submission, remittance, insurance follow-up, and collection processes Prepare operational and financial reports for senior leadership Partner with clinical, operational, compliance, and technology teams on revenue-cycle initiatives Ensure compliance with CMS, Medicaid, commercial payer, HIPAA, and applicable state and federal requirements

Qualifications: Bachelor’s degree in healthcare administration, business, finance, or a related field; equivalent education and experience may be considered 5–7+ years of progressively responsible medical billing, revenue cycle, or ambulatory operations experience 3–5+ years of leadership experience managing and developing billing teams Strong knowledge of payer requirements, reimbursement, charge and payment posting, insurance AR follow-up, denials, and collections Demonstrated success improving revenue-cycle KPIs and operational performance Working knowledge of ICD-10, CPT coding, coordination of benefits, and Workers’ Compensation billing Strong analytical skills with experience using financial and operational data to identify and implement process improvements Extensive Epic experience, particularly Epic Resolute Professional Billing, strongly preferred Experience with another large-scale healthcare billing platform may also be considered Strong communication and leadership skills with the ability to work effectively with executives, physicians, clinical teams, payers, employees, and patients Position Details This is a full-time, on-site position in Syracuse, NY. The Director will be responsible for overseeing daily operations, employee performance, training, and ongoing workflow improvement. The organization offers a comprehensive benefits package that includes health, dental, and vision insurance, paid time off, tuition reimbursement, and employer-funded 401(k) contributions of up to 8%, subject to plan terms and vesting. Please send your resume to cnyjobs@hiresapphire.com for immediate consideration. Sapphire Recruitment is an Equal Opportunity Employer.