Salary: $100 per hour

SUMMARY

We are seeking to hire a Program Director for Professional Medical Biling responsible for leading and managing the professional billing operations for the organization to ensure accurate, compliant, and timely billing processes. This role requires a strong understanding of healthcare reimbursement, payer rules, and revenue cycle management best practices. The director will oversee staff, drive performance improvement initiatives, and collaborate with senior leadership to optimize revenue while maintaining regulatory compliance and exceptional patient financial experiences.

ESSENTIAL FUNCTIONS

• Assists in the formulation, implementation and interpretation of revenue systems, professional billing programs and administrative policies and procedures; supervises the preparation of instructions for implementation.
• Has responsibility for the coordination, development, and evaluation of administrative and support services to ensure successful implementation of policies and procedures governing revenue systems and programs or initiatives.
• Coordinates the development and maintenance of effective systems for budgetary controls and the projection of revenue or professional services initiatives, policies and programs.
• Initiates, plans and supervises the conduct of administrative programs creation and set-up for professional revenue operations and procedures or professional services policies and initiatives, and the preparation of reports; recommends new and revised policies and procedures in order to effect maximum operational efficiency, improve services, and reduce administrative costs.
• Serves as subject matter expert for implementation and maintenance of revenue systems and programs with departmental administration and facilities, state and federal agencies, other County departments, and private computer systems firms.
• Provides administrative direction for a major operational segment of the health services programs.
• Directs the review and study of other health care systems and facilities in order to evaluate new management techniques, systems and practices for use in the department.
• May act for the Chief, Revenue Cycle Management in the latter's absence.

JOB QUALIFICATIONS

• Bachelor’s degree in healthcare administration, business, or related field required; master’s degree preferred.
• Minimum of 7–10 years of progressive healthcare billing or revenue cycle experience, with at least 3 years in a leadership role.
• Strong knowledge of hospital and physician billing, payer regulations, and compliance requirements.
• Demonstrated success leading teams, driving process improvement, and achieving key revenue cycle KPIs.
• Proficiency in EHR and billing software, with advanced Microsoft Excel and reporting skills.
• Certification such as CPC, CCS, CRCR, or CRCP preferred.

Certificates/Licenses/Clearances

• Successfully clear the Live Scan process through Los Angeles County.
• Successfully clear the Health Screening process through Los Angeles County.

Working Conditions:

• This position is based in Alhambra, CA currently hybrid (2 days/week). Negotiable.

PHYSICAL DEMANDS

Stand: Frequently

Walk: Frequently

Sit: Frequently

Handling / Fingering: Occasionally

Reach Outward: Occasionally

Reach Above Shoulder: Occasionally

Climb, Crawl, Kneel, Bend: Occasionally

Lift / Carry: Occasionally - Up to 15 lbs

Push/Pull: Occasionally - Up to 15 lbs

See: Constantly

Taste/ Smell: Not Applicable

Not Applicable = Not required for essential functions

Occasionally = (0 - 2 hrs/day)

Frequently = (2 - 5 hrs/day)

Constantly = (5+ hrs/day)

WORK ENVIRONMENT

General Office Setting, Indoors Temperature Controlled

EEOC STATEMENT

It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants, without regard to age (40 and over), national origin or ancestry, race, color, religion, sex, gender, sexual orientation, pregnancy or perceived pregnancy, reproductive health decision making, physical or mental disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV, genetic information or characteristics, veteran status or military service.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.