Director of Medical Billing

Director of Medical Billing Classification:
Exempt

Reports to:

CFODate:
October 2026

Each day at Volunteers of America, we strive to exemplify our foundational pillars of Servant Leadership and Cultural Values of Communication, Compassion, Integrity, Respect, and Excellence.

At VOA we are committed to providing opportunities that help staff grow and enhance their skill sets. As part of this commitment, we invest in on-the-job training to prepare employees for their new positions and offer professional development opportunities, coaching, and career pathways to promote our culture of helping staff advance their careers throughout the organization.

JOB DESCRIPTION _____________________________________________________________________________________________Summary/Objective The Director of Medical Billing provides strategic and operational oversight of billing and credentialing functions across the organization. This position is accountable for timely and accurate claims submission, payment posting, denial resolution, accounts receivable performance, payer enrollment, regulatory compliance, and achievement of established revenue cycle goals.

Essential Functions Drive efficiency in processes and collaborate with office support staff to ensure revenue cycle management is complete.

Oversee internal documents and ensure compliance (vouchers, timesheets, leave requests, staff development, etc.) to include assignment and completion of new employee orientation if needed.

Manage schedules and timelines, plan and assist with meetings.

Participate in management team meetings and others as requested.

Take notes and distribute the minutes of meetings, as applicable.

Responsible for processing, maintenance, and quality control of billing information systems.

Ensure the billing and credentialing teams maintain complete and accurate information and timely workflows for Medicaid and third-party billing, billing audits, payer enrollment and recredentialing, payment posting, refund requests, Netsmart billing configuration, accounts receivable follow-up, client and internal inquiries, and monthly close activities performed in coordination with Finance.

Establish, monitor, and report key revenue cycle performance indicators, including clean claim rate, denial rate, days in accounts receivable, aging trends, collection rate, unbilled services, payment posting accuracy, and timely filing compliance. Develop corrective action plans when performance falls below established targets.

Oversee claim edits, rejections, denials, appeals, underpayments, over payments, refunds, and payer correspondence. Identify recurring reimbursement issues, coordinate timely resolution, and implement process improvements that reduce preventable denials and revenue loss.

Maintain compliance with applicable federal and state billing requirements, payer contracts, organizational policies, and documentation standards. Coordinate internal and external billing audits, respond to findings, implement corrective action plans, and escalate identified compliance or repayment risks to appropriate leadership.

Safeguard protected health information and financial data by ensuring billing operations follow organizational privacy, security, and record-retention requirements. Maintain appropriate system access controls and promptly report suspected privacy, security, or billing compliance concerns.

Recruit, train, coach, and evaluate billing and credentialing staff; establish performance expectations; address performance concerns; maintain adequate staffing and cross-training; and support employee development and succession planning.

Partner with clinical, program, finance, compliance, information technology, and front-office leaders to resolve documentation and workflow issues that affect clean claim submission, reimbursement, financial reporting, and the client experience.

Collaborate with others to improve operational efficiencies through technology to streamline processes.

Actively participates in work teams and committees utilizing knowledge base to identify and assist with data needs; contributes ideas for improvement.

Understands and complies with the agency's policies, procedures, ethical standards, laws and regulations. Is competent regarding CARF standards of accreditation and maintains confidentiality as required. Completes organizational requirements on a timely basis (i.e., annual in-services, etc.).Competencies Ability to effectively work with a variety of computer software programs,…