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Director of Billing Services

C.R. Fletcher Assoc.

Syracuse, NY · $100k–$140k a year · Posted October 19, 2026

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About the job

Great opportunity to lead full revenue cycle operations, with a focus on improving collections, payer reimbursement, denial management, and cash flow. This leadership role will oversee and develop the billing team, streamline processes, ensure regulatory compliance, and collaborate with leadership and key partners to drive operational and financial performance.

Responsibilities include:

Lead and oversee full revenue cycle and billing operations, including payer reimbursement, accounts receivable, denial management, collections, charge capture, and claims processing.

Manage, develop, and mentor the billing leadership team and staff, including hiring, training, performance management, and establishing clear productivity and performance expectations.

Drive process improvement and financial performance by establishing KPIs, analyzing billing and payer trends, reducing denials and AR, improving collections, and accelerating cash flow.

Partner with clinical, operational, technology, and compliance leadership to align billing operations with organizational goals and ensure compliance with CMS, Medicaid, commercial payer, HIPAA, and other regulatory requirements.