Director of Medical Billing

Director of Medical Billing

Cordial Health is a rapidly growing and thriving healthcare organization specializing in psychiatric and behavioral health services across nursing homes, hospitals, and clinics. We currently provide services across 100+ healthcare facilities and continue to expand our footprint into multiple states, including New York, New Jersey, Tennessee, and additional markets as our organization continues to grow.

As we scale, we are seeking an experienced Director of Medical Billing to lead and strengthen our revenue cycle operations from our on-site office in Williamsburg, Brooklyn.

This is an excellent opportunity for a proven medical billing leader who wants to take ownership of a growing department, improve systems, manage a team, and play a key role in supporting the continued expansion of a multi-state healthcare organization.

Position Overview

The Director of Medical Billing will oversee the full medical billing function, including claims submission, payment posting, denial management, appeals, collections, AR follow-up, payer communication, and billing team leadership.

This is a hands-on leadership role for someone who understands the complexity of healthcare billing and can bring structure, accountability, and measurable improvement to a growing revenue cycle department. The ideal candidate will have strong medical billing management experience, excellent knowledge of payer processes, and the ability to lead both people and operational improvement.

Experience in psychiatry, behavioral health, nursing homes, hospitals, clinics, or multi-site healthcare billing is highly preferred. However, we are open to strong medical billing leaders from other healthcare specialties who have successfully managed teams and improved billing performance.

Requirements

• Lead and manage the medical billing department, including billing specialists, AR staff, payment posters, and related team members.
• Oversee the full revenue cycle process, including charge entry, claims submission, payment posting, denial management, appeals, collections, and AR follow-up.
• Build, train, and develop a high-performing billing team with clear expectations, workflows, and accountability.
• Monitor key billing metrics, including aging AR, denial rates, clean claim rates, collection trends, reimbursement timelines, and team productivity.
• Identify process gaps and implement improvements to increase collections, reduce denials, improve cash flow, and strengthen overall revenue cycle performance.
• Ensure timely and accurate billing for services provided across nursing homes, hospitals, clinics, and other healthcare settings.
• Work closely with executive leadership, operations, providers, credentialing, finance, and administrative teams to resolve billing issues and support organizational growth.
• Review payer requirements and ensure compliance with Medicare, Medicaid, managed care, commercial insurance, and other payer guidelines.
• Develop and maintain billing policies, procedures, reporting systems, workflows, and internal controls.
• Provide regular reporting to senior leadership on billing performance, challenges, trends, risks, and recommended solutions.
• Support system improvements, billing technology optimization, workflow automation, and scalable revenue cycle infrastructure.