Billing Director

Hillcrest Children Center; Washington (District of Columbia); Hybrid; USD 95,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401K retirement plan

Life insurance

Paid time off

Sick leave

Company holidays

Leadership development

Employee assistance program

Job summary

Hillcrest Children and Family Center seeks a Billing Director to oversee the organization’s revenue life cycle, from credentialing to final claims adjudication, proactively alerting leadership to write-offs and optimizing revenue.

You will lead cross-department workflows, manage payer relationships, and design processes to minimize errors while pursuing favorable outcomes for the organization. The role is hybrid with in-office and remote days.

Qualifications

• Bachelor's degree required; Master's in Healthcare Admin, Business, or related field preferred.
• 5-7 years of billing, billing management, and account management experience in behavioral health, mental health, or clinic settings.
• Billing and coding certifications preferred (e.g., CPB, CPC, CRCR).
• Experience with behavioral health EMR systems and billing matrices configuration preferred.

Responsibilities

• Oversee credentialing to link clinicians to payers per specs.
• Pre-auditing billing for completeness and accuracy before submission.
• Ensure timely claim submission with minimal errors.
• Post insurance claims accurately.
• Serve as primary POC for external payers and follow up on denials.

Skills

Billing management

Account management

Payer relations

Revenue cycle

Leadership

Education

Bachelor's degree

Master's degree preferred

Tools

Behavioral health EMR

Billing matrices configuration

Job description

Careers At Hillcrest Children and Family Center

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The Billing Director is a strategic partner responsible for overseeing the organization's financial lifecycle, from initial provider credentialing and pre-billing through final claims adjudication. This position will lead our revenue cycle operations is responsible for proactively alerting executive leadership to potential write-offs, developing cross-departmental workflows to minimize errors, and aggressively pursuing appeals when appropriate to safeguard and optimize organizational revenue.

This position offers the rare opportunity to move past repetitive routine. By managing a highly diverse payer mix, you will engage in intellectual problem-solving every day, build a robust professional network across the healthcare industry, and enjoy the creative freedom to design an optimized, modern revenue cycle department.

Key Responsibilities:

• Manage the credentialing process to ensure that clinical providers are linked to the appropriate payers per their specifications
• Pre-auditing billing with verification of completeness and accuracy of claims prior to billing
• Ensuring all claims are submitted timely with a goal of zero errors
• Accurately post all insurance claims
• Serve as the dedicated, primary Point of Contact (POC) for all external payers
• Timely follow up on claims denials, exceptions, or exclusions
• Managing explanation of benefits (EOB) and alerting supervisor of unusual trends
• Utilizing monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days
• Regularly meeting with executive leaders and team members to discuss and resolve reimbursement issues or billing obstacles
• Assist with software configuration around billing coding, and billing matrices
• Provide necessary development of workflows, procedures, and training needs for other departments
• Achievement of Key Performance Indicators (KPI’s) at or above the 95% benchmark
• Perform additional duties as requested around accounts receivable and grant management as defined by executive leadership
• Maintains familiarity with regulations and governing bodies around Medicaid, MCO’s, MHRS, DBH standards

Qualifications:

• Bachelor's degree required. Master's degree in Healthcare Administration, Business Management, or other relevant Human Health Services field highly preferred.
• 5-7 years of billing, billing management and account management experience in behavioral health, mental health, or clinic based setting.
• Billing and coding certifications strongly preferred (e.g., CPB, CPC, CRCR)
• Experience with behavioral health electronic medical record systems and configuration of billing matrices preferred
• Affordable Medical, Dental, and Vision insurance
• 401K Retirement Plan and Life Insurance
• Generous Paid Time Off (PTO), Sick Leave, and Paid Company Holidays
• Opportunities for leadership training and professional development
• Employee Assistance Programs (EAP) to support your professional and personal well-being

Position:

Hybrid - 2 days in office, 3 days remote

Salary Range:

$95,000 - $110,000 based on experience