This position is an exempt position that is fully in-person and Monday-Friday and is esponsible for overseeing the employees and responsibilities of the Billing Department. The individual will design, implement, and enforce policies and procedures, as well as create efficient and effective billing processes across multiple payors. This position requires a strong leader with the ability to prioritize, plan, and direct the department's performance to meet the strategic goals. The Billing Director is responsible for revenue maximization for all receivables. The Billing Director identifies, investigates, and resolves compliance issues relating to coding, billing, documentation, and reimbursement activities. Serves as a subject matter expert and authoritative resource on interpretation and application of documentation and coding rules and regulations. Researches, leads, and directs the implementation of compliance with new billing rules, regulations, laws, and payor contractual requirements. This position reports to the Chief Financial Officer (CFO). Responsibilities will also include Establishment and Implementation of Managed Care Two-Plan Model.

Qualifications

EDUCATION: Bachelor's Degree in Business or Health Administration or related field. PRIOR EXPERIENCE: Minimum of five (5) years Medical Insurance/Healthcare Billing and Collections experience in a healthcare setting, preferably a FQHC, with a deep understanding of medical billing rules and regulations. Two (2) years supervisory or management experience preferred. A combination of education and experience will be considered.

SKILLS:Comfortable understanding of code sets (e.g., ICD-9, CPT, CDT, etc). Understanding and experience in contract negotiations. Clear working knowledge of State and Federal regulations regarding managed care and Knox-Keene Health Plan Services Act. Communication skills which include ability to draft corporate documents, procedural guides, technical writing, and agreement/MOU writing. Bilingual (English/Spanish). Able to quickly build and maintain a rapport with patients and providers of differing backgrounds; team player. Meeting facilitation and curriculum development skills that include understanding of adult learning and general training techniques. Demonstrated effective problem-solving skills; sound judgement

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All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.