Director Hospital Billing (remote/hybrid)
Presbyterian Healthcare Services
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Benefits offered by this job
Job summary
Presbyterian Healthcare Services in Albuquerque, NM, seeks a strategic and results-driven Director of Hospital Billing to lead hospital, home health, and hospice billing operations. You will set direction, optimize reimbursement, and drive improvements across the revenue cycle while ensuring compliance and an exceptional patient financial experience.
With 7+ years in healthcare revenue cycle and 5+ years in leadership, you will mentor teams, partner with finance, payer contracting, and IT, and
Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance, or related field, or equivalent work experience.
- 7+ years of progressive healthcare revenue cycle experience.
- 5+ years of leadership in hospital billing, patient financial services, or revenue cycle operations.
- Strong knowledge of hospital billing operations, Medicare/Medicaid reimbursement, commercial payer requirements, denial management, accounts receivable management, and revenue cycle performance metrics.
- Experience leading large teams and operational improvement initiatives.
Responsibilities
- Lead hospital billing operations across the Presbyterian Delivery System, including Home Health and Hospice services.
- Direct all billing activities to ensure timely and accurate claim submission and reimbursement.
- Establish operational goals, service standards, and productivity expectations.
- Monitor performance and implement corrective action plans to address operational challenges.
- Ensure consistency of billing practices across all facilities and service lines.
Skills
Education
Job description
9521 San Mateo NEAlbuquerque, NM 87113-2237
Presbyterian Healthcare Services (PHS) seeks a collaborative and results-oriented revenue cycle leader to serve as its next Director, Hospital Billing. This enterprise leadership role is responsible for the strategic direction, operational performance, and continuous improvement of hospital billing operations across the Presbyterian Delivery System, as well as system-wide Home Health and Hospice billing functions.
As reimbursement complexity continues to increase and healthcare organizations face growing financial pressures, this leader will play a critical role in maximizing reimbursement, improving billing accuracy, reducing denials, accelerating cash flow, and ensuring regulatory compliance. The Director will partner closely with Revenue Cycle, Finance, Patient Access, Clinical Operations, and Information Technology leaders to strengthen billing performance while delivering an exceptional patient financial experience.
This role is ideal for a revenue cycle leader who combines strong operational expertise with strategic thinking, process improvement capabilities, and a passion for developing high-performing teams.
- Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY.
- Hybrid (Strongly Preferred): For individuals within 60 miles of Albuquerque, in-office presence is required Tuesday through Thursday.
- Lead and oversee hospital billing operations across the Presbyterian Delivery System, including Home Health and Hospice services.
- Direct all billing activities to ensure timely and accurate claim submission and reimbursement.
- Establish operational goals, service standards, and productivity expectations.
- Monitor performance and implement corrective action plans to address operational challenges.
- Ensure consistency of billing practices across all facilities and service lines.
- Oversee third-party insurance billing and collections activities.
- Lead denial management and appeals strategies to optimize reimbursement.
- Monitor accounts receivable performance and implement strategies to improve cash collections.
- Reduce revenue leakage through effective billing controls, denial prevention efforts, and reimbursement optimization.
- Partner with payer contracting and finance teams to address reimbursement challenges and trends.
- Develop and monitor key performance indicators including:
- Clean claim rate
- Denial rate
- Days in Accounts Receivable
- Cash collections
- Net collection rate
- Aged receivables
- Credit balance performance
- Drive operational improvements that enhance financial performance and support organizational goals.
- Develop strategies to maximize reimbursement while maintaining compliance.
- Promote a customer-focused approach to billing and collections.
- Partner with Revenue Cycle and Patient Experience leaders to improve patient financial communications and processes.
- Support financial assistance programs and patient-friendly billing practices.
- Balance collection performance with Presbyterian's commitment to service excellence.
- Ensure compliance with Medicare, Medicaid, commercial payer requirements, and regulatory standards.
- Maintain billing integrity through strong internal controls and auditing processes.
- Implement safeguards around cash handling, payment posting, refunds, and credit balances.
- Support audit requests and compliance initiatives.
- Lead automation and workflow redesign initiatives to improve efficiency and reduce manual work.
- Evaluate system enhancement opportunities and partner with IT teams to optimize billing technology.
- Continuously assess operational processes and implement best practices.
- Leverage analytics and benchmarking data to drive operational improvements.
- Lead, mentor, and develop Hospital Billing managers and staff.
- Foster a culture focused on accountability, customer service, continuous improvement, and employee engagement.
- Establish performance expectations and support professional development.
- Build organizational capability through succession planning and talent development initiatives.
Within the first 12-24 months, the Director will be expected to:
- Improve hospital billing performance across key reimbursement and AR metrics.
- Reduce claim denials and improve first-pass payment rates.
- Accelerate cash collections and reduce aged receivables.
- Enhance billing productivity through workflow optimization and automation.
- Strengthen billing compliance and audit readiness.
- Improve collaboration with operational, finance, and revenue cycle partners.
- Enhance the patient financial experience through improved billing practices and communication.
- Build a high-performing billing organization focused on accountability and operational excellence.
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field, or equivalent work experience.
- 7+ years of progressive healthcare revenue cycle experience.
- 5+ years of leadership experience in hospital billing, patient financial services, or revenue cycle operations.
- Strong knowledge of:
- Hospital billing operations
- Medicare and Medicaid reimbursement
- Commercial payer billing requirements
- Denial management
- Accounts receivable management
- Revenue cycle performance metrics
- Experience leading large teams and operational improvement initiatives.
- Competitive salaries
- Full medical, dental and vision insurance
- Flexible spending accounts (FSAs)
- Free wellness programs
- Paid time off (PTO)
- Retirement plans, including matching employer contributions
- Continuing education and career development opportunities
- Life insurance and short/long term disability programs
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
We are part of New Mexico's history-and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
New Mexico's continuously ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
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