Job Description

📍 Houston, TX (Hybrid – 2 Days Onsite Monthly)

💼 Full-Time | Direct Hire | Bonus Eligible

💰 $142K–$177K + 20% Annual Bonus | Relocation Available

About the Role

Join one of the nation’s top-performing and most respected healthcare systems, leading revenue cycle operations across acute care, post-acute, and outpatient facilities . This role provides strategic direction, operational oversight, and performance management for all facets of hospital billing and collections —including denials, underpayments, correspondence, cash management, and vendor relationships.

You’ll shape long-term financial strategy while guiding a team of 30+ professionals (including 2 direct manager reports) to deliver measurable improvements in accuracy, compliance, and net revenue.

Key Responsibilities

• Lead and develop a strong financial services culture across hospital revenue cycle operations.
• Oversee billing performance for up to 17 hospitals, 160+ outpatient facilities, and 300+ physicians .
• Manage $2.6B in AR, $4.3B in annual cash collections, and 2B in annual claims.
• Implement process improvements to increase efficiency, compliance, and reimbursement accuracy.
• Partner with senior leadership and cross-functional teams (Revenue Integrity, CDI, Case Management) to align operations with strategic goals.
• Build and mentor a high-performing team; drive engagement and change management initiatives.
• Ensure adherence to payer regulations, CMS rules, and UB-04/Form 1500 billing requirements.
• Monitor key metrics and financial trends to identify opportunities for growth and operational excellence.

Ideal Candidate

You’re a hospital billing leader ready to take the next step—someone who’s led large teams and complex billing operations in a major health system . You bring a balance of strategic vision, operational expertise, and a commitment to team development.

Qualifications

• Bachelor’s degree required (Master’s preferred)
• 10+ years of progressive hospital billing experience; 5+ years in leadership
• Experience with large, multi-facility health systems (Epic environment preferred)
• Expertise in CMS rules, UB-04, and specialty billing (transplant, trauma, etc.)
• Strong analytical and process improvement skills
• Coding or billing certification preferred
• Academic health system experience is a plus

Why Join

• Nationally recognized, top-tier health system in the South/Texas region
• Opportunity to step into a high-impact, visible leadership role
• Competitive salary and 20% performance-based bonus
• Relocation assistance available for top candidates
• Collaborative and forward-thinking leadership culture

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