OverviewWe currently have an opportunity for a highly motivated professional to join our team. We are looking for an energetic, results-driven individual who pays close attention to detail and who is also able to work well and manage a growing team. This individual will be an integral part of our rapidly growing Therapy at Home division, with room for growth opportunities.
Revenue Cycle Leadership- Provide strategic oversight of the Therapy at Home revenue cycle, including patient onboarding, billing, collections, accounts receivable, claims submission, denial management, and reimbursement optimization.
- Lead and develop the administrative and billing team to achieve operational and financial goals.
- Establish performance standards, key metrics, and accountability measures across all revenue cycle functions.
- Monitor revenue cycle performance and implement process improvements to maximize reimbursement and cash collections.
Operational Oversight- Oversee front-end patient intake processes, including insurance verification, benefit review, patient financial responsibility, and system setup.
- Ensure accurate and timely billing, payment posting, claim follow-up, and resolution of reimbursement issues.
- Partner with clinical and operational leaders to improve workflow efficiency and support program growth.
- Develop, implement, and maintain policies and procedures that promote consistency and scalability across all markets.
Compliance & Regulatory Management- Ensure compliance with Medicare, commercial payer, and regulatory billing requirements.
- Serve as the department subject matter expert for Part B reimbursement, coding, payer updates, and billing regulations.
- Oversee credentialing and payer enrollment processes to support timely billing and reimbursement.
- Provide ongoing education and guidance to operational and clinical teams regarding reimbursement and compliance requirements.
Analytics & Continuous Improvement- Develop and maintain reporting related to revenue cycle performance, reimbursement trends, denials, collections, and operational effectiveness.
- Analyze data to identify opportunities for process improvement, reimbursement enhancement, and risk mitigation.
- Collaborate with leadership to support strategic initiatives and long-term growth of the Therapy at Home division.
Leadership- Foster a culture of accountability, service excellence, collaboration, and continuous improvement.
- Lead projects and initiatives that enhance operational effectiveness and patient experience.
- Perform other duties as assigned.
ResponsibilitiesPosition SummaryThe Director of Billing is responsible for leading and overseeing the revenue cycle operations for TMC's multi-state Direct Bill, Part B, Therapy at Home division. This position serves as the primary liaison between billing, clinical, and operational teams to ensure an efficient, compliant, and financially successful revenue cycle.
The Director of Billing is accountable for all aspects of the patient financial journey, including onboarding, insurance verification, patient responsibility management, billing, collections, accounts receivable, claims management, reimbursement optimization, credentialing, compliance, and reporting. This role will establish and continuously improve processes that support operational excellence, regulatory compliance, and exceptional patient service.
Qualifications- Associate or Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field; equivalent experience may be considered.
- Minimum of 3 years of progressive healthcare revenue cycle experience.
- Minimum of 3 years of leadership or management experience.
- Strong knowledge of Medicare Part B billing, revenue cycle management, reimbursement methodologies, and payer requirements.
- Experience with claims management, denials, collections, insurance verification, and patient financial responsibility.
- Experience developing policies, procedures, and operational workflows.
- Proficiency with Microsoft Office applications and healthcare practice management systems.
- Experience with Net Health preferred.
Competencies- Revenue Cycle Management
- Leadership & Team Development
- Healthcare Compliance
- Process Improvement
- Financial Analysis & Reporting
- Strategic Thinking
- Problem Solving & Decision Making
- Communication & Collaboration
- Project Management
- Customer Service Excellence
