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Job Title: Billing Director
Location: Northeast Ohio (Hybrid – in-person onboarding, then remote)
Role Overview
We are seeking an experienced Billing Director to lead and modernize billing operations across a multi-location healthcare group. This is a senior leadership role responsible for overseeing all billing functions, managing a team of billing managers, and driving process improvement across seven sites. The ideal candidate is a proactive, systems-oriented leader who can step into an established operation and elevate it — bringing structure, accountability, and innovation to a department that is ready for transformation.
Key Responsibilities
Lead and manage billing operations across all locations, serving as the primary point of accountability for billing performance and accuracy
Directly oversee and support a team of managers, providing guidance, structure, and performance management
Oversee all spend management, including corporate credit card tracking and reconciliation across multiple cardholders
Partner closely with the billing department to ensure seamless coordination of accounts and workflows
Identify inefficiencies in current billing processes and lead initiatives to innovate and improve systems
Develop and enforce billing policies, procedures, and controls across all sites
Serve as the escalation point for complex billing issues, disputes, and compliance matters
Collaborate with IT and administrative leadership to streamline and automate billing-related functions
Provide regular reporting and visibility to senior leadership on billing performance, outstanding balances, and financial health
Required Qualifications
Proven leadership experience in billing operations within a healthcare, medical, or multi-location environment
Demonstrated ability to manage, develop, and hold accountable a team of managers or senior billing professionals
Deep understanding of healthcare billing, coding, and revenue cycle management
Track record of driving process improvement and implementing operational change
Strong written and spoken English with confident, professional communication skills across all levels of an organization
Must have prior remote or hybrid work experience, be proficient with remote collaboration tools (Outlook, Zoom, or similar), and demonstrate the ability to self-manage across multiple locations. Applications without this experience will not be considered.
Preferred Qualifications
Experience in gastroenterology, primary care, or specialty medical practices
Familiarity with medical billing software and EHR/PMS systems
Experience leading billing transformation or system migration projects
Background in M&A integration or multi-site consolidation within a healthcare setting
Tools & Technology
Microsoft Outlook and Office Suite
EHR/PMS and billing software (experience specific to the organization will be discussed during onboarding)
Remote collaboration tools (Zoom, Teams, or similar)
Please NOTE It is crucial that you complete the application form in full. As part of the application process, you will be required to record a video. If your application is successful, you will receive an email confirming next steps—the video is the first step of the interview process. If you do not record a video, we will not be able to consider you for ANY open roles.
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Compensation Range: $120K - $160K