Director of Billing

As a Director of Billing, you will be accountable for overseeing billing operations, claims processing, and revenue cycle management for various healthcare services including ABA and HCBS. You'll ensure compliance with regulations, develop billing policies, lead a team of billing professionals, and monitor key performance indicators to optimize revenue performance.

To be considered for the Director of Billing role, applicants should have extensive experience in healthcare billing, particularly in multidisciplinary settings like ABA and HCBS. Proven leadership skills, strong analytical abilities, and deep knowledge of Medicaid and commercial insurance regulations are also essential.

The Director of Billing works closely with clinical, operational, and finance teams to streamline billing processes and improve reimbursement rates. This collaboration is vital for ensuring accurate claims processing and optimizing revenue cycle management.

Directors of Billing commonly leverage EHR and billing systems along with healthcare revenue cycle management technology to ensure efficient billing operations and accurate claims processing, making it critical for candidates to be familiar with these systems.

In the role of Director of Billing, you will monitor KPIs such as claim denial rates, days in accounts receivable, and overall collection rates to assess and enhance the performance of the billing and revenue cycle operations.

When answering, focus on specific experiences you've had with different billing methods in services like ABA or HCBS. Highlight any successes in optimizing billing processes or improving compliance with regulations.

Share your strategies for staying updated with state and federal regulations, such as attending training sessions or participating in industry forums. Discuss how you incorporate these regulations into your billing policies.

Discuss approaches like implementing a review process for claims before submission, providing detailed training for your team, and developing strong relationships with payers to understand their requirements.

Provide examples of past negotiations you've successfully managed, emphasizing your communication skills and persistence. Discuss how you use data and documentation to support your claims.

Mention specific KPIs related to billing operations such as days in accounts receivable, claim denial rates, and resolution timelines. Explain how you use this data to drive performance improvements.

Describe your training methods, including hands-on workshops or mentorship programs. Highlight the importance of building a supportive team environment to foster continuous learning.

List relevant software and systems you've worked with, like EHR platforms or specific billing tools. Explain how these tools improved the efficiency of billing processes in your past roles.

Share specific challenges you've encountered, such as regulatory changes or complex claims, and describe the steps you took to resolve them and the outcomes of your actions.

Talk about the research and analysis you conduct to design effective billing policies tailored to specific services. Mention collaboration with various teams to ensure that policies meet operational needs.

Articulate your passion for healthcare billing and your eagerness to contribute to the organization's success. Reference specific aspects of the organization that resonate with you, such as its mission or values.