Director of Billing Operations - On-Site Leadership

Shield HealthCare, Inc.; Washington (IL); On-site; USD 130,000 - 160,000; Full time

Benefits offered by this job

Medical, Dental, and Vision

401(k) with Company Match

Sick and Vacation Days

Flexible Spending Account

Life & Disability Insurance

Education Assistance

Employee Referral Program

Job summary

Shield HealthCare, Inc. is seeking a Director of Billing Operations for its Valencia, CA corporate office. This role provides strategic and operational leadership of the Billing Operations Department, ensuring timely submission of claims, regulatory compliance, and strong cash flow support.

The director collaborates cross-functionally with internal teams and external payers. The position requires a Bachelor’s in a relevant field, 7+ years in healthcare billing revenue cycle, and 4+ years of

Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance or Accounting, or Health Information Management required; master’s degree preferred.
• 7+ years of experience in healthcare billing, adjudication, or revenue cycle operations.
• 4+ years of leadership experience managing large teams or multi-level departments.
• Proven ability to coach and mentor team, identifying areas for development.
• Strong knowledge of payer rules, government programs, and medical billing regulations.
• Experience with healthcare billing/claims systems highly preferred.
• Proficiency in Microsoft 365 (Excel, PowerPoint, Word, SharePoint, Teams).
• Advanced or Expert level of proficiency in MS Excel.

Responsibilities

• Direct all billing activities to ensure timely payment of claims.
• Establish, refine, and standardize workflows to maximize productivity and accuracy.
• Ensure adherence to payer rules, regulations, and company policies.
• Collaborate with Revenue Cycle, Billing, Coding and Compliance teams and external payers.
• Develop and execute short and long-term strategic plans for the Adjudication Department.
• Manage departmental budget, staffing models, and resource allocation.
• Monitor denial patterns and write-offs; implement corrective actions.
• Lead, mentor, coach, and evaluate direct reports.
• Oversee onboarding and staff development in billing operations.

Skills

Leadership

Healthcare billing operations

Payer rules knowledge

MS Excel (advanced)

Analytical skills

Education

Bachelor's degree in Healthcare Administration, Business Administration, Finance or Accounting, or Health Information Management

Master's degree preferred

Tools

MS Excel

Microsoft 365

Billing/claims systems

Job description

Shield HealthCare, Inc. is seeking a Director of Billing Operations for its Valencia, CA corporate office. This role provides strategic and operational leadership of the Billing Operations Department, ensuring timely submission of claims, regulatory compliance, and strong cash flow support.

The director collaborates cross-functionally with internal teams and external payers. The position requires a Bachelor’s in a relevant field, 7+ years in healthcare billing revenue cycle, and 4+ years of