Senior Director of Billing and Collections

Senior Director of Billing and Collections

We are seeking an experienced, strategic, and results-driven Senior Director of Billing and Collections to lead our end-to-end billing operations. This senior leadership role will oversee all facets of the billing lifecycle, including charge capture, claims management, collections, cash application, denial resolution, and system optimization. The ideal candidate is both a visionary and a tactical leader, capable of driving performance, improving process efficiency, and leading system enhancements to support organizational growth and financial health.

Key Responsibilities

Leadership & Strategy

Develop and execute the strategic vision for the billing and collections function in alignment with organizational goals. Lead, mentor, and develop high-performing teams across billing, collections, and related functions. Establish and monitor key performance indicators (KPIs), benchmarks, and SLAs to drive operational excellence and accountability. Foster cross-functional collaboration with finance, IT, compliance, operations, and clinical leaders to ensure seamless revenue cycle integration.

Billing Operations

Oversee accurate and timely charge entry, claims submission, and billing processes across all payers and lines of business. Ensure compliance with all payer requirements, regulatory guidelines, and coding standards (e.g., CPT, ICD-10, HCPCS). Partner with coding and documentation teams to improve accuracy and minimize rework or denials. Continuously evaluate and improve billing workflows, policies, and controls to maximize cash flow and minimize errors or delays.

Collections & Accounts Receivable

Direct the collections strategy for both insurance and patient receivables, focusing on reducing aging AR and improving DSO. Implement proactive denial management and appeals processes. Oversee timely and accurate cash application and reconciliation activities. Collaborate with the finance team to ensure accurate reporting of revenue and bad debt.

Billing Systems & Technology

Own the optimization and administration of billing and collections systems (e.g., EMR / EHR, practice management, clearinghouses, and AR tools). Partner with IT and vendors to lead system upgrades, implementations, and integrations that enhance billing accuracy and efficiency. Leverage data and analytics to drive decision-making, improve transparency, and identify trends or opportunities for improvement. Ensure data integrity across systems and support audit readiness.

Compliance & Risk Management

Maintain up-to-date knowledge of payer rules, industry regulations, and healthcare billing standards. Ensure internal controls are in place and functioning effectively to mitigate risks. Support audits and manage payer or regulatory inquiries with accuracy and professionalism.

Qualifications

Bachelor's degree in Business, Finance, Healthcare Administration, or related field; Master's degree or MBA preferred. 10+ years of progressive experience in healthcare billing, revenue cycle, or financial operations, with at least 5 years in a senior leadership role. Deep expertise in billing systems, revenue cycle management tools, and claims processing. Demonstrated success leading large teams and managing complex, multi-site or multi-specialty billing operations. Proven track record of improving billing performance and reducing AR. Strong understanding of payer contracts, reimbursement methodologies, and healthcare billing compliance. Exceptional analytical, communication, and leadership skills.

Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.