Director of Billing

Upstate; City of Syracuse (NY); On-site; USD 92,000 - 147,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Employer 401k funding after 1 year (3%

5% annual on vesting schedule

Tuition reimbursement

Paid time off including vacation and S

Sick leave, holidays and floating days

Job summary

Upstate in Syracuse, NY seeks a Director of Billing to lead the full revenue cycle, drive improvements in collections and cash flow, and strengthen organizational controls. This role partners with SUNY Upstate leadership, IMT and payors to align billing operations with strategic goals.

The ideal candidate has 5–7+ years in medical billing, strong leadership, extensive Epic/EPIC Resolute experience, and a track record of reducing denials and enhancing revenue performance.

Qualifications

• Bachelor's degree in healthcare administration, business, finance or related field and 5–7+ years in medical billing or revenue cycle
• Epic EMR and EPIC Resolute experience required
• Strong leadership and supervisory experience with high-performing teams
• Knowledge of payer rules, reimbursement methodologies and compliance requirements
• Proven ability to improve KPIs, reduce denials and maximize revenue

Responsibilities

• Supervise and manage the billing department including supervisors and specialists
• Monitor performance, conduct reviews and develop staff
• Provide training and development for billing leaders
• Screen and recruit billing applicants and manage onboarding
• Develop and execute billing strategies to improve accuracy and cash flow
• Establish KPIs to monitor performance and drive improvements
• Collaborate with client and operational leadership on revenue cycle goals
• Monitor billing metrics and prepare ad hoc reports
• Ensure compliance with CMS, Medicaid, HIPAA and payer rules

Skills

Leadership

Revenue cycle

Billing operations

Analytics

Communication

Education

Bachelor's degree in Healthcare Administration/Business/Finance

Tools

Epic EMR

EPIC Resolute

Job description

Job Summary:

Under the general supervision of the Director of Administration, the Director of Billing is responsible for the full revenue cycle operations and driving the continuous improvement in collections, payer reimbursement, and financial optimization. This position leads the billing department, streamlines processes, recruits and develops talent, and drives strategic improvements to reduce errors, accelerate cash flow, and strengthen organizational controls. This role works frequently with SUNY Upstate leadership, Epic Information Management & Technology (IMT) clients, insurance carriers and closely with MedBest operational management including the Director of Human Resources, and Director of Audit & Compliance. This role serves as a key stakeholder in revenue cycle strategy, operational efficiency, regulatory compliance, and organizational growth.

Leadership & Strategy:

• Supervise, direct and manage the billing department including supervisors and specialists.
• Monitor employee performance; conduct reviews, make recommendations for promotions and salary adjustments. Assist new supervisors with reviews to mentor and develop skills.
• Communicate clear expectations to employees. Provide ongoing feedback and coaching. Counsel employees; make recommendations for discipline, handle complaints and grievances.
• Provide ongoing training and development of billing supervisors and team leaders through regular operational meetings.
• Screen, select, and interview billing applicants and make recommendations for employment consideration. Utilize online recruitment avenues to advertise and contact candidates.
• Organize and drive regular new hire training program and competency monitoring.
• Develop and execute billing strategies that improve accuracy, efficiencies, and drive cash flow and reimbursement.
• Establish key performance indicators (KPIs) to monitor billing performance and lead continuous workflow improvement initiatives.
• Collaborate with both client and operational leadership to align billing operations with revenue cycle goals.

Financial Management:

• Monitor daily, weekly, and monthly billing metrics and reporting to communicate results.
• Analyze payer AR and balance trends, denial patterns, and reimbursement variances to identify root cause issues and execute corrective actions.
• Spearhead initiatives that drive reimbursement, minimize AR and denials, and strengthen collections.
• Prepare ad hoc reports for the client(s), supervisors, and staff. Assist with report creation and interpretation.

Compliance & Quality Assurance:

• Ensure compliance with CMS, Medicaid, commercial payer rules, HIPAA, and all federal/state regulations.
• Work closely with Director of Audit & Compliance and drive internal audits, documentation standards, and corrective action plans.
• Maintain knowledge of carrier regulations, policies and procedures that support compliant billing and coding practices.
• Interact with various third-party payors on an as needed basis.

Knowledge, Skill, Abilities required:

Must have a thorough understanding of both ICD-10 and CPT coding. Must understand coordination of insurance benefits. Must be an effective leader in assigning duties and monitoring completion. Must have thorough knowledge of charge and payment posting, insurance AR follow up, denial management, and collection process. Must have clear understanding of Workers’ Compensation. Must be able to master the use of various billing platforms. Must be able to interact and communicate effectively with other healthcare professionals including client and physician leadership, office staff, patients and public.

Perform other duties as assigned/requested.

Minimum Qualifications:

Bachelor's degree in Healthcare Administration, Business, Finance, or related field and 5-7+ years of progressive medical billing experience or equivalent combination of education and experience required.

• Extensive experience with Epic electronic medical records and the EPIC Resolute professional billing application.
• 5–7+ years of progressively responsible experience in medical billing, ambulatory operations, revenue cycle management, or a related healthcare financial environment or revenue cycle experience.
• 3-5+ years of leadership and supervisory experience with demonstrated success managing, developing, and retaining high-performing teams.
• Strong knowledge of healthcare payer rules, reimbursement methodologies, revenue cycle operations, and applicable compliance requirements.
• Proven success of improving key performance indicators (KPIs), optimizing charge capture, enhancing claims submission and remittance processes, reducing denials, increasing collections, and maximizing revenue performance.
• Demonstrated ability to analyze operational and financial data, identify process improvement opportunities, and implement sustainable solutions that enhance revenue cycle effectiveness.

Will consider an equivalent combination of education and experience.

Preferred Qualifications: Work Days:

Monday - Friday daytime hours

Message to Applicants:

Candidates must be able to work onsite. This position directly oversees staff, operations, and in-person workflows.

Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on vesting schedule), tuition reimbursement, generous paid time off, including vacation and personal time, paid sick leave, holidays and floating holidays.

L5: $92,000 - $147,200

Please note the salary information shown is a general guideline only. Salaries are based upon candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. The salary range depicted is based on full time, 1.0 FTE and would be prorated accordingly for less than 1.0 FTE.

rev. 9/10/26

Recruitment Office: MedBest Medical Management