- Provides enterprise-level leadership and oversight for all Hospital Billing (HB) operations, including billing, accounts receivable (AR) follow-up, denials management, and payer relationship management
- Develops strategic direction, staffing models, and budgets to ensure compliance with payer regulations and organizational policies
- Leads Senior Managers and Managers across HB functions, drives accountability for enterprise KPIs, and partners with clinical, financial, and administrative leaders to strengthen denial prevention, optimize reimbursement, and accelerate collections
- Serves as the subject matter expert for hospital billing strategy, payer policy interpretation, and revenue cycle best practices
- Strategic Leadership & Oversight of HB Revenue Cycle:
- Provides enterprise-level direction for hospital billing, AR follow-up, and denials management
- Establishes vision, goals, and performance standards aligned with organizational strategy
- Performance Management & KPI Accountability:
- Monitors and drives achievement of key performance indicators, including AR days, denial rates, cash collections, and payer resolution timelines
- Ensures consistent reporting and data-driven decision-making
- Team Leadership & Development:
- Leads Senior Managers, Managers, and Supervisors across HB operations
- Ensures effective staffing, professional development, and succession planning to build high-performing teams
- Denials Management & Prevention Strategy:
- Oversees enterprise denial prevention initiatives and ensures effective root cause analysis, payer escalation, and resolution strategies
- Partners with clinical and administrative leaders to mitigate future denials
- Payer Relationship Management:
- Serves as executive-level point of contact for Hospital Billing with payer organizations
- Builds relationships to resolve systemic issues, interpret contract requirements, and negotiate resolution strategies
- Cross-Functional Collaboration:
- Partners with Revenue Cycle, Finance, Clinical, and Managed Care leaders to align billing operations with broader organizational goals
- Supports enterprise initiatives impacting patient access, coding, and collections
- Regulatory Compliance & Process Improvement:
- Ensures adherence to federal/state billing regulations and payer policies
- Drives continuous improvement in workflows, technology adoption, and compliance practices
- Additional Duties as Assigned
- Travel: Less than 10% of the time may be required
- Work Type: Remote employee
MINIMUM REQUIRED QUALIFICATIONS:
- Education - Bachelor's degree in Healthcare Administration, Business, or related field or experience in lieu of degree
- Experience - 10 years minimum experience with at least 5 years in a management position
Preferred Qualifications:
- Master's Degree in Healthcare Administration, Business, or related field
- Experience - 12 years minimum experience with at least 7 years in a management position
Knowledge, skills, and abilities (required):
- Expert knowledge of hospital billing regulations, payer rules, and AR/denials workflows
- Demonstrated success leading enterprise initiatives in a complex healthcare environment
- Executive-level communication and leadership skills
- Strong financial and operational analysis skills, with ability to interpret revenue cycle KPIs and trends
- Advanced proficiency in reporting and analytics tools
JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.