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Director of Billing
Coral Connect. Drive development and deployment of standardized billing and reimbursement playbooks across all clients .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in infusion billing and reimbursement operations, with a strong focus on strategic direction, process improvement, and compliance with industry standards. Capable of mentoring teams and managing multiple client engagements while analyzing financial performance metrics.
Highest-signal resume keywords
Infusion Billing OperationsReimbursement AnalyticsRevenue Cycle ManagementClient Relationship ManagementStrategic Thinking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Infusion BillingCodingClaims WorkflowDenial TrackingFinancial Performance AnalysisOperational ImprovementPayor ContractingHCPCS/J-CodesCPT CodesNDCs
Soft Skills
LeadershipClient CommunicationProblem-SolvingProcess ImprovementMentoring
Industry Keywords
HealthcareInfusion ServicesPharmacy BenefitsMedical BenefitsOutpatient Infusion CentersSpecialty PharmacyOncology InfusionCMS GuidelinesOIG GuidanceGPO Performance
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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