Director of Billing

Job not on LinkedIn

🔥 15 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Coral Connect

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2021

🤲 Charity

🌍 Social Impact

Charity • Social Impact

Coral Connect is an innovative platform that connects donors to coral reef conservation efforts. It showcases the growth, health, and progress of each charitable impact, increasing transparency and donor engagement around reef restoration and protection.

📋 Description

• Drive development and deployment of standardized billing and reimbursement playbooks across all clients • Partner with the technology team to define billing enablement requirements, including denial tracking, reimbursement analytics, and claims workflow visibility • Provide strategic direction for billing and reimbursement operations across multiple client organizations • Serve as the infusion billing and reimbursement subject matter expert for the RCM organization • Develop standardized best practices for infusion billing, coding, and revenue cycle processes • Mentor high-potential associates and billing staff • Advise clients on billing and reimbursement matters and serve as the main escalation point • Assist with monthly business reviews covering financial performance, reimbursement trends, and optimization roadmaps • Recommend payor contracting, drug acquisition/reimbursement, and program financial efficiency improvements • Research client performance, analyze trends, and recommend improvements • Align drug acquisition strategy with reimbursement and GPO performance • Evaluate billing readiness and downstream claims workflows to identify reimbursement risk • Improve reimbursement for infusion medications, administration services, and related supplies • Support payor-specific billing and documentation strategies • Provide expertise on medical versus pharmacy benefit billing pathways • Partner with intake and RCM leadership to convert verified referrals into accurate claims • Guide infusion billing involving HCPCS/J-codes, NDCs, infusion administration CPT codes, drug wastage, and modifiers • Resolve complex payor reimbursement issues and establish escalation frameworks for billing and denial trends • Monitor revenue cycle metrics including drug reimbursement, denials, days in A/R, and revenue per infusion visit • Develop data-driven operational improvement plans and performance monitoring tools • Ensure compliance with payor requirements, CMS guidelines, OIG guidance, and industry best practices • Support audit readiness for billing and claims documentation • Develop training materials, competency frameworks, and operational protocols • Identify billing and claims inefficiencies and implement standardized, scalable solutions through automation, technology adoption, and workflow redesign

🎯 Requirements

• High school diploma or equivalent • 5+ years of healthcare experience with significant experience in infusion services billing and reimbursement services for both pharmacy and medical benefits • 3+ years of leadership or manager-level experience • Strong understanding of infusion reimbursement, payor policies, and revenue cycle workflows • Experience working with outpatient infusion centers, specialty pharmacy, oncology infusion, or hospital-based infusion services • Demonstrated experience managing multi-site or multi-client environments • Deep knowledge of infusion billing operations and reimbursement models • Strong strategic thinking and operational leadership abilities • Excellent client relationship and executive communication skills • Ability to analyze financial and claims performance metrics • Strong problem-solving and process improvement skills • Ability to manage multiple client engagements simultaneously

🏖️ Benefits

• Health insurance • Dental insurance • Vision insurance • Life insurance • 401(k) • Paid time off • Remote work with limited travel to client locations, internal business meetings, and other locations as needed