Billing Services Director

About the role

Our Core Values People First, Last Always All for One & One for All Your Responsibility Extends Beyond Your Job Description Developing You Makes Us Better Don't Accept Complacency - The Status Quo Isn't Good Enough Position Overview The Director, Billing Services is responsible for leading and optimizing end-to-end billing operations across assigned clients or service lines. This role provides strategic and operational leadership focused on improving billing accuracy, accelerating cash flow, reducing denials, and ensuring compliance with regulatory and payer requirements. The Director partners closely with cross-functional teams-including coding, accounts receivable, client delivery, and technology-to drive performance, standardization, and continuous improvement across billing workflows. This role requires approximately 10% travel to support key client engagements and leadership initiatives.

Responsibilities

• Lead day-to-day billing operations, including charge capture, claim submission, edits/work queues, and billing accuracy
• Drive process improvements to enhance clean claim rate, reduce rework, and accelerate reimbursement timelines
• Partner with Coding, A/R, and Denials teams to ensure alignment across the revenue cycle and reduce downstream issues
• Monitor key performance indicators (KPIs) such as clean claim rate, billing lag, denial rates, and cash conversion metrics
• Identify trends and root causes of billing errors, edit failures, and payer denials, implementing sustainable solutions
• Ensure compliance with CMS regulations, payer guidelines, and internal policies across all billing functions
• Oversee and standardize workflows, policies, and procedures to support consistency and scalability across teams
• Serve as an escalation point for complex billing issues, payer disputes, and client concerns
• Partner with Technology and Operations teams to optimize billing systems, automation, and reporting capabilities
• Lead, mentor, and develop high-performing teams, fostering a culture of accountability and continuous improvement

Requirements

• Bachelor's degree required; Master's degree preferred (Healthcare Administration, Business, or related field)
• 7+ years of progressive leadership experience in healthcare billing, revenue cycle, or related operations
• Strong knowledge of professional and/or hospital billing processes, workflows, and payer requirements
• Demonstrated success improving billing performance metrics and operational efficiency
• Experience leading multi-site or multi-client billing operations
• Strong analytical and problem-solving skills with the ability to leverage data for decision-making
• Proven ability to lead cross-functional initiatives and influence stakeholders at all levels
• Excellent communication, leadership, and client-facing skills
• Travel Requirements
• Approximately 10% travel for client engagement and leadership alignment
• This position pays between: $118,960- $178,440
• Join an award-winning company
• Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
• Energage Top Workplaces USA 2022-2024
• Fortune Media Best Workplaces in Healthcare 2024
• Monster Top Workplace for Remote Work 2024
• Great Place to Work certified 2023-2024
• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values
• Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
• Associate Benefits - We offer a comprehensive benefits package designed to

Benefits

Additional Information

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

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