Director - Professional Billing Organization (Remote)

Stanford Health Care; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare institution in the United States is seeking a Director of Professional Billing Organization. This pivotal role involves overseeing revenue collections, ensuring compliance with regulations, and leading staff development efforts. Ideal candidates will have extensive experience in healthcare financial management and a proven ability to foster strong payer relationships. The position offers a competitive pay scale ranging from $89.01 to $117.94 per hour.

Qualifications

• 10+ years of experience in patient billing management.
• Ability to anticipate healthcare trends and adjust financial strategies accordingly.
• Knowledge of revenue cycle management and regulatory requirements.

Responsibilities

• Oversee all aspects of professional revenue collections.
• Develop and implement innovative billing programs.
• Ensure compliance with regulatory agencies and payer standards.

Skills

Healthcare financial management

Compliance with regulations

Staff development

Payer relationship management

Education

Bachelor's degree in a relevant field

Master's degree

Job description

Overview

If you're ready to be part of our legacy of hope and innovation, we encourage you to explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

Are you a seasoned revenue cycle leader ready to make a significant impact at one of the nation’s leading academic medical centers? The Director of Professional Billing Organization at Stanford Health Care offers a unique opportunity to lead a high-performing team in supporting revenue generated by School of Medicine faculty and Stanford Medicine Partners physicians. In this critical role, you’ll oversee all facets of professional revenue collections—from billing compliance, enhancing payor relationships, and optimizing cash flow to strategic financial planning. You’ll also be instrumental in shaping future leaders through staff development and training programs, all while fostering strong relationships with payers, regulatory agencies, and physician leadership.

This role is ideal for a dynamic healthcare executive who thrives at the intersection of financial operations, innovation, and regulatory excellence. You’ll be empowered to lead transformative initiatives, influence cross-functional strategy, and enhance the financial health of a world-class medical enterprise. With a strong commitment to collaboration, integrity, and continuous improvement, you’ll help drive long-term growth and maintain the highest standards of accountability and service excellence in a mission-driven environment.

What you will do

• Assesses and responds to organizational and customers\' needs with innovative programs to ensure customer satisfaction. Implements patient friendly billing guidelines.

• Completes/contributes to the completion of various financial forecasts, including cost center salary and direct expenses, month-end financial reporting, receivables levels, net matched collections, Days in Accounts Receivable and aging, reserve analysis, cost center productivity, benchmarking, and any long-range strategic plans for the department.

• Directs ongoing programs for staff development and training that fosters and mentors the next generation of Revenue Cycle leaders.

• Ensures compliance with relevant regulations, standards and directives from regulatory agencies and third- party payers.

• Maintains and fosters excellent payer relations with key fiscal intermediaries and government oversight agencies such as CMS, Medi-Cal, DHS, etc. Maintains and fosters excellent relationships with contracted health plans and medical groups to support effective claims submission/resolution and contract compliance. Maintains a climate of confidence in the billing process and results, with Department Chairs, physician leadership, and DFAs.

• Maintains appropriate internal control safeguards over AR records, write-offs and collection of cash. Maintains compliance standards for providing accurate information on all facility or health system billings.

• Manages all service programs, including external vendor programs and systems.

• Manages, prepares and presents capital and operating budgets that demonstrate prudent use of organization\'s resources while at the same time achieves and maintains organizations goals and key performance indicators.

• Monitors and support daily staff functions. Participates in key Revenue Cycle stakeholder venues such as physician and clinic leadership venues, IT, Contracting, and Department of Finance Administrators (DFAs) Oversees the financial interface between and performance analysis of the patient financial services functions and fiscal services functions. Oversees the integrity of financial and clinical interfaces, while facilitating the development of strategic system planning.

• Performs related duties such as selecting and evaluating the performance of key reporting staff; preparing various reports, correspondence and position papers; conducting and/or attending meetings and conferences and serving as the department\'s primary appointing authority.

• Plans, coordinates and prepares year-end audits with public accounting firms and third-party auditors as they relate to AR operations. Mediates and resolve conflicts regarding public accounting firms, third-party auditors and investigate parties.

Education Qualifications

• Bachelor\'s degree in a work-related field/discipline from an accredited college or university.

• Master Degree preferred

Experience Qualifications

• Ten (10) years of progressively responsible and directly related work experience in patient billing management.

Required Knowledge, Skills and Abilities

• Ability to anticipate healthcare trends and alter the financial direction of the organization as necessary. Ability to assess and keep current and compliant with all charity care, free bed fund and uninsured policies. Ability to communicate complex concepts in simple form to non- finance users to understand the appropriate use and limits of the information provided.

• Ability to develop financial budgets and manage expenses.

• Ability to effectively influence change and manage effective the change process.

• Ability to evaluate appropriate and key partnerships such as outsourcing, collections, underpayment vendors, eligibility, etc.

• Ability to foster effective working relationships and build consensus.

• Ability to keep operations technology up to date both in terms of legacy systems, EDI capable as well as added value tie in technologies.

• Ability to provide leadership and influence others.

• Knowledge of all functional areas of the revenue cycle, including health information management, case management, and charge capture.

• Knowledge of computer systems and software used in functional area.

• Knowledge of financial statements and the impact of the revenue cycle on them, including aging reports, bad- debt analysis, and calculation of bad-debt allowance.

• Knowledge of local, state and federal regulatory requirement related to the functional area.

• Knowledge of patient registration, billing, A/R, cash-management requirements, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements (compliance and HIPAA), business office operations, A/R and financial reporting technology, wage and hour regulations, basic accounting and industry standard for healthcare revenue resolution management practices.

• Knowledge of principles and practices of organization, administration, fiscal and personnel management.

Licenses and Certifications

• None

Equal Opportunity Employer Stanford Health Care (SHC) strongstrongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $89.01 - $117.94 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.