A medical billing operations director is a high-level manager who works with a large hospital, clinic, or health care organization. He or she oversees all areas regarding the reimbursement to the company for services and procedures rendered. All managers in the billing department report directly to this person. The director ensures that billing operations are accurate and efficient and that they conform with generally accepted principles in the field.
As the person charged with overseeing all operations of the billing facility, the operations director receives numerous reports related to the accuracy of various procedures, services, and goods. This may involve not only assessing operators and clerks, but also how well billing software is utilized. The operations director keeps current on the best practices in this field. The director then works with a technical staff or IT department to ensure that the clinic or hospital is utilizing the most cost-effective and efficient technology. He or she also works with this department to approve any scheduled maintenance or downtime. The operations director also oversees training of billing clerks. He or she makes sure that proper coding procedures are followed and that appropriate supervision takes place. The medical billing operations director will likely take an active role in performance evaluations for all supervisory personnel, as well as participate actively in the hiring decisions made for this department.
To work as a medical billing operations director, a person will likely need an undergraduate degree and post-graduate study. Many persons filling this role have business degrees that focus on specialized education in the medical field. A medical billing operations director typically works in an office environment during regular hours of the week.
Medical Billing Operations Director Tasks
Directs the patient accounts staff to ensure billing, collections and customer services are in compliance with professional, state and federal standards.
Oversee and plan department goals, patient account receivables, cash budgets and forecasts.
Plan, implement and monitor accounting processes and procedures.
Create, implement and audit patient account processes to ensure timeliness, accuracy and compliance in order to maximize reimbursement.