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The Billing Director will provide leadership to the department, directs reimbursement strategies to maximize reimbursement, and oversee all aspects of Commercial and Governmental billing for the health system. This position will be accountable for specific billing functions across the healthcare system, including system billing, builds and redesigns, organizational reporting, overall billing support and drive results and performance of the team. This role is integral to driving operational excellence through strategic planning, team leadership, and collaboration with key stakeholders.

Essential Duties:

+ Oversee and streamline billing processes, develop and implement policies and procedures to improve efficiency and revenue outcomes, ensuring compliance with all state, federal, and payer guidelines.

+ Provide analyses of billing processes to identify areas for improvement and implement necessary changes.

+ Collaborate with providers, clinical teams, and the EMR team to ensure accurate coding, documentation, and revenue optimization.

+ Propose, research, and manage the development, implementation and assessment of long and short term operating goals and objectives. Operationalize, implement and monitor assigned strategic initiatives. Drive execution of the assigned strategic plan components.

+ Responsible for daily management of billing, system holds and billing personnel to effectively ensure claims are accurately being billed to all payers.

+ Manages and review edits, bridges along with charge master impacts to ensure claims are flowing defect-free to the payers.

+ Direct oversight of billing functions and software vendors to improve workflows, processes and controls for billing enhancements and efficiency.

+ Collaborate and communicate with department leaders on charge issues that generate rework and rebills. Work to eliminate rebills throughout the organization.

+ Performs other duties as assigned.

Required Qualifications:

+ Req High School or equivalent

+ Req Bachelor’s Degree Healthcare Administration, Health Information Management, Business, or a related field

+ Additional 2 years of experience required in lieu of min education.

+ Req 5-7 years minimum hospital acute care billing management experience

+ Req Excellent knowledge of CPT-4, ICD-9/ ICD-10 and Uniform Billing Standards.

+ Req Excellent knowledge of all Medicare Billing regulations and requirements.

+ Req Excellent contract knowledge required

Preferred Qualifications:

Required Licenses/Certifications:

+ Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

The annual base salary range for this position is $110,240.00 - $181,896.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.