Director Hospital Billing; remote​/hybrid

Location Address:9521 San Mateo NE Albuquerque, NM

Summary:

Presbyterian Healthcare Services (PHS) seeks a collaborative and results-oriented revenue cycle leader to serve as its next Director, Hospital Billing. This enterprise leadership role is responsible for the strategic direction, operational performance, and continuous improvement of hospital billing operations across the Presbyterian Delivery System, as well as system-wide Home Health and Hospice billing functions.

As reimbursement complexity continues to increase and healthcare organizations face growing financial pressures, this leader will play a critical role in maximizing reimbursement, improving billing accuracy, reducing denials, accelerating cash flow, and ensuring regulatory compliance. The Director will partner closely with Revenue Cycle, Finance, Patient Access, Clinical Operations, and Information Technology leaders to strengthen billing performance while delivering an exceptional patient financial experience.

This role is ideal for a revenue cycle leader who combines strong operational expertise with strategic thinking, process improvement capabilities, and a passion for developing high-performing teams.

Work Arrangement:
• Remote:
Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY.
• Hybrid (Strongly Preferred):
For individuals within 60 miles of Albuquerque, in-office presence is required Tuesday through Thursday.

Job Description:

Hospital Billing Operations Lead and oversee hospital billing operations across the Presbyterian Delivery System, including Home Health and Hospice services.

Direct all billing activities to ensure timely and accurate claim submission and reimbursement.

Establish operational goals, service standards, and productivity expectations.

Monitor performance and implement corrective action plans to address operational challenges.

Ensure consistency of billing practices across all facilities and service lines.

Accounts Receivable & Reimbursement Performance Oversee third-party insurance billing and collections activities.

Lead denial management and appeals strategies to optimize reimbursement.

Monitor accounts receivable performance and implement strategies to improve cash collections.

Reduce revenue leakage through effective billing controls, denial prevention efforts, and reimbursement optimization.

Partner with payer contracting and finance teams to address reimbursement challenges and trends.

Financial Performance & Revenue Optimization Develop and monitor key performance indicators including:

Clean claim rate Denial rate

Days in Accounts Receivable Cash collections

Net collection rate

Aged receivables

Credit balance performance

Drive operational improvements that enhance financial performance and support organizational goals.

Develop strategies to maximize reimbursement while maintaining compliance.

Patient Financial Experience Promote a customer-focused approach to billing and collections.

Partner with Revenue Cycle and Patient Experience leaders to improve patient financial communications and processes.

Support financial assistance programs and patient-friendly billing practices.

Balance collection performance with Presbyterian's commitment to service excellence.

Compliance, Audit & Risk Management Ensure compliance with Medicare, Medicaid, commercial payer requirements, and regulatory standards.

Maintain billing integrity through strong internal controls and auditing processes.

Implement safeguards around cash handling, payment posting, refunds, and credit balances.

Support audit requests and compliance initiatives.

Process Improvement & Technology Optimization Lead automation and workflow redesign initiatives to improve efficiency and reduce manual work.

Evaluate system enhancement…