Director of Billing Jobs
Director of Billing jobs are open across healthcare, legal services, and financial services, at every level from billing manager to VP of Revenue Cycle, with specializations in medical billing, insurance collections, and accounts receivable management. Find a role that fits below and apply directly.
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Job Description Summary
The Dental Billing Specialist is responsible for billing, coding and modifier review, claims processing, payment posting and reconciliation, accounts receivable management, insurance follow-up, patient account resolution, payment plan administration, and related revenue cycle activities. The position supports accurate and timely reimbursement through claim review and submission, denial management, account reconciliation, charge review, compliance-focused auditing, and effective communication with patients, providers, staff, students, and third-party payers.Entity
Medical University of South Carolina (MUSC - Univ)Worker Type
EmployeeWorker Sub-Type
ClassifiedCost Center
CC000058 CDM Dean Finance & AdministrationPay Rate Type
HourlyPay Grade
University-GEN08
Pay Range
Scheduled Weekly Hours
40Work Shift
Job Description
30%:
- Review charges within Charge Review and Modifier Review work queues to identify coding, modifier, documentation, or billing issues that may affect accurate claim submission and reimbursement.
- Research and correct claim, charge, coding, and modifier errors through review of clinical documentation, EHR records, payer responses, and account activity.
- Perform account and chart audits to verify coding accuracy, account balances, claim integrity, and supporting documentation before billing follow-up or correspondence is completed.
- Post and reconcile insurance and patient payments, electronic remittances, and paper explanation of benefits (EOBs).
- Establish, monitor, and maintain payment plans for eligible patients in accordance with MUSC and CDM policies. Process claim corrections, reconsiderations, appeals, and resubmissions and provide supporting documentation when appropriate to resolve denials and support reimbursement.
30 %:
- Respond to patients and responsible parties regarding account balances, billing questions, insurance claims, payments, and payment arrangements.
- Respond to patient MyChart messages and Secure Chat requests from CDM faculty, staff, and students regarding billing and patient account concerns.
- Monitor accounts receivable and perform timely follow-up on unpaid, denied, underpaid, rejected, and aging claims.
- Research claims incorrectly processed as out-of-network and work with participating insurance carriers to request correction or reprocessing when appropriate.
- Research missing insurance payments and remittances and initiate follow-up to ensure payments are properly identified, posted, and reconciled.
- Identify third-party payer payments, research deposited funds, and coordinate the transfer or correction of misapplied or misplaced payments to the appropriate patient account.
- Review and process paper and electronic correspondence requiring billing, payment, or claims follow-up and document actions taken within the patient account.
- Research and resolve credit balances, unapplied payments, and overpayments.
- Process appropriate refunds in accordance with MUSC and applicable State policies.
- Maintain complete and accurate billing, payment, claim, and accounts receivable records. Identify recurring account, denial, reimbursement, or collection trends and escalate significant concerns to leadership.
30%:
- Correct patient demographic, guarantor, coverage, and insurance information within the EHR when necessary to support accurate billing and claim adjudication.
- Perform insurance verification and identify eligibility, coverage, coordination-of-benefits, or other discrepancies requiring resolution before or during billing follow-up.
- Communicate timely and accurately with CDM faculty, residents, staff, and students regarding billing, insurance, and patient account issues.
- Prepare routine and ad hoc reports related to missing charges, charge review, unapproved charges, payment activity, accounts receivable, and billing trends. Assist leadership with escalated and complex patient account matters by researching account history, claims, payments, adjustments, documentation, and other relevant information and coordinating resolution.
10%:
- Serve as a resource and point of contact for CDM faculty, staff, and students regarding coding, billing, patient accounts, and related policies and procedures.
- Provide guidance and support regarding billing and coding processes, account resolution, and applicable CDM/MUSC procedures.
- Provide professional and courteous customer service to patients, responsible parties, payers, faculty, staff, and students while addressing billing questions, account concerns, insurance issues, and payment-related inquiries.
- Participate in assigned special projects, process-improvement initiatives, workflow development, and training activities.
- Perform other duties as assigned.
Additional Job Description
Minimum Requirements: A high school diploma and three years professional experience in a related area such as accounting, auditing, finance or commercial lending. A bachelor's degree with multiple accounting courses may be substituted for two years of the required work experience. Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift) Ability to perform job functions in an upright position. (Frequent) Ability to perform job functions in a seated position. (Frequent) Ability to perform job functions while walking/mobile. (Frequent) Ability to work indoors. (Continuous) Ability to work in confined/cramped spaces. (Infrequent) Ability to bend at the waist. (Infrequent) Ability to squat and perform job functions. (Infrequent) Ability to fully use both hands/arms. (Continuous) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to maintain tactile sensory functions. (Continuous) Ability to lift and carry up to 15 lbs., unassisted. (Infrequent) Ability to lift objects, up to 15 lbs., from floor level to height of 36 inches, unassisted. (Infrequent) Ability to lower objects, up to 15 lbs., from height of 36 inches to floor level, unassisted. (Infrequent) Ability to push/pull objects, up to 15 lbs., unassisted. (Infrequent) Ability to maintain 20/40 vision, corrected. (Continuous) Ability to see and recognize objects close at hand. (Continuous) Ability to see and recognize objects at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to hear and/or understand conversations. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Additional New Requirements: Computer literacy.If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
Job Description Summary
The Dental Billing Specialist is responsible for billing, coding and modifier review, claims processing, payment posting and reconciliation, accounts receivable management, insurance follow-up, patient account resolution, payment plan administration, and related revenue cycle activities. The position supports accurate and timely reimbursement through claim review and submission, denial management, account reconciliation, charge review, compliance-focused auditing, and effective communication with patients, providers, staff, students, and third-party payers.Entity
Medical University of South Carolina (MUSC - Univ)Worker Type
EmployeeWorker Sub-Type
ClassifiedCost Center
CC000058 CDM Dean Finance & AdministrationPay Rate Type
HourlyPay Grade
University-GEN08
Pay Range
Scheduled Weekly Hours
40Work Shift
Job Description
30%:
- Review charges within Charge Review and Modifier Review work queues to identify coding, modifier, documentation, or billing issues that may affect accurate claim submission and reimbursement.
- Research and correct claim, charge, coding, and modifier errors through review of clinical documentation, EHR records, payer responses, and account activity.
- Perform account and chart audits to verify coding accuracy, account balances, claim integrity, and supporting documentation before billing follow-up or correspondence is completed.
- Post and reconcile insurance and patient payments, electronic remittances, and paper explanation of benefits (EOBs).
- Establish, monitor, and maintain payment plans for eligible patients in accordance with MUSC and CDM policies. Process claim corrections, reconsiderations, appeals, and resubmissions and provide supporting documentation when appropriate to resolve denials and support reimbursement.
30 %:
- Respond to patients and responsible parties regarding account balances, billing questions, insurance claims, payments, and payment arrangements.
- Respond to patient MyChart messages and Secure Chat requests from CDM faculty, staff, and students regarding billing and patient account concerns.
- Monitor accounts receivable and perform timely follow-up on unpaid, denied, underpaid, rejected, and aging claims.
- Research claims incorrectly processed as out-of-network and work with participating insurance carriers to request correction or reprocessing when appropriate.
- Research missing insurance payments and remittances and initiate follow-up to ensure payments are properly identified, posted, and reconciled.
- Identify third-party payer payments, research deposited funds, and coordinate the transfer or correction of misapplied or misplaced payments to the appropriate patient account.
- Review and process paper and electronic correspondence requiring billing, payment, or claims follow-up and document actions taken within the patient account.
- Research and resolve credit balances, unapplied payments, and overpayments.
- Process appropriate refunds in accordance with MUSC and applicable State policies.
- Maintain complete and accurate billing, payment, claim, and accounts receivable records. Identify recurring account, denial, reimbursement, or collection trends and escalate significant concerns to leadership.
30%:
- Correct patient demographic, guarantor, coverage, and insurance information within the EHR when necessary to support accurate billing and claim adjudication.
- Perform insurance verification and identify eligibility, coverage, coordination-of-benefits, or other discrepancies requiring resolution before or during billing follow-up.
- Communicate timely and accurately with CDM faculty, residents, staff, and students regarding billing, insurance, and patient account issues.
- Prepare routine and ad hoc reports related to missing charges, charge review, unapproved charges, payment activity, accounts receivable, and billing trends. Assist leadership with escalated and complex patient account matters by researching account history, claims, payments, adjustments, documentation, and other relevant information and coordinating resolution.
10%:
- Serve as a resource and point of contact for CDM faculty, staff, and students regarding coding, billing, patient accounts, and related policies and procedures.
- Provide guidance and support regarding billing and coding processes, account resolution, and applicable CDM/MUSC procedures.
- Provide professional and courteous customer service to patients, responsible parties, payers, faculty, staff, and students while addressing billing questions, account concerns, insurance issues, and payment-related inquiries.
- Participate in assigned special projects, process-improvement initiatives, workflow development, and training activities.
- Perform other duties as assigned.
Additional Job Description
Minimum Requirements: A high school diploma and three years professional experience in a related area such as accounting, auditing, finance or commercial lending. A bachelor's degree with multiple accounting courses may be substituted for two years of the required work experience. Physical Requirements: (Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift) Ability to perform job functions in an upright position. (Frequent) Ability to perform job functions in a seated position. (Frequent) Ability to perform job functions while walking/mobile. (Frequent) Ability to work indoors. (Continuous) Ability to work in confined/cramped spaces. (Infrequent) Ability to bend at the waist. (Infrequent) Ability to squat and perform job functions. (Infrequent) Ability to fully use both hands/arms. (Continuous) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to maintain tactile sensory functions. (Continuous) Ability to lift and carry up to 15 lbs., unassisted. (Infrequent) Ability to lift objects, up to 15 lbs., from floor level to height of 36 inches, unassisted. (Infrequent) Ability to lower objects, up to 15 lbs., from height of 36 inches to floor level, unassisted. (Infrequent) Ability to push/pull objects, up to 15 lbs., unassisted. (Infrequent) Ability to maintain 20/40 vision, corrected. (Continuous) Ability to see and recognize objects close at hand. (Continuous) Ability to see and recognize objects at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to hear and/or understand conversations. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Additional New Requirements: Computer literacy.If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
Director of Billing Jobs by Experience Level
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Find Director of Billing JobsDirector of Billing Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in director of billing jobs.
- 5 or more years of billing, revenue cycle, or accounts receivable management experience
- Proven leadership managing billing teams, supervisors, or department staff
- Proficiency in billing software such as Epic, Cerner, Kareo, or Sage Intacct
- Deep knowledge of insurance reimbursement, claim denials, and collections processes
- Bachelor's degree in finance, business administration, healthcare administration, or a related field
- Certified Revenue Cycle Professional or similar industry certification preferred
Tips for Your Director of Billing Job Search
Quantify your revenue cycle results
Hiring managers want numbers, not duties. Replace phrases like 'managed billing operations' with specific outcomes: days in accounts receivable reduced, denial rates lowered, or collections recovery improved. Directors who show measurable impact move to the top of the pile.
Match your resume to the billing setting
A director of billing resume built around hospital revenue cycle won't land in a law firm without adjustment. Tailor terminology and system names to each sector, because healthcare billing, legal billing, and SaaS subscription billing use different workflows, tools, and compliance requirements.
Apply early to roles that fit
Migrate Mate lists director of billing openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings that name specific systems
Job listings that mention Epic, Kareo, Sage Intacct, or similar platforms signal the tech stack you'll own. Prioritize openings where your system experience is a direct match, and call out those tools explicitly in your application materials.
Prepare a denial management case study
Interviewers for director of billing roles consistently probe how you handle claim denials, billing disputes, or collections escalations. Walk in with a specific example, the root cause you identified, the process change you implemented, and the outcome it produced.
Negotiate scope before you negotiate pay
Before accepting an offer, clarify which departments report to you, whether you own coding or only billing, and what systems budget you control. Scope determines how much leverage you have at review time, so get it in writing before your start date.
Director of Billing Jobs: Frequently Asked Questions
Which companies are hiring the most director of billings?
The companies hiring the most director of billings right now include Renown Health, Sonic Automotive, and Axinn, with the largest share of openings in Nevada, Texas, and Arizona, based on current listings on Migrate Mate as of November 2026. Healthcare systems, national law firms, and multi-site medical groups consistently post the highest volume of these roles.
How many director of billing jobs are remote?
About 50% of director of billing openings are fully remote or hybrid as of November 2026, reflecting broader adoption of cloud-based billing platforms across the industry. Roles focused on insurance billing, revenue cycle consulting, and SaaS subscription management tend to offer the most remote flexibility, while positions tied to hospital systems or multi-location clinics more often require on-site presence.
How do you become a director of billing?
Start in a billing specialist or coordinator role to build foundational knowledge of claim submission, denial management, and payer contracts. Move into a billing supervisor or manager position where you lead a team and own department metrics. Pursue a relevant certification such as Certified Revenue Cycle Professional to demonstrate expertise, then target director openings at organizations where your industry background, whether healthcare, legal, or finance, aligns with their billing environment.
Can you get a director of billing job with limited experience?
Moving directly into a director of billing role with no management experience is difficult, but candidates who have led billing projects, trained junior staff, or served as a senior billing specialist with de facto team responsibility can make a credible case. Focus your resume on outcomes you drove, not just tasks you performed, and target smaller organizations or startups where the director role is a first-time hire rather than a replacement for a seasoned incumbent.
What does the director of billing interview process look like?
Most director of billing interview processes include an initial screening call with HR or a talent partner, followed by a technical interview with the CFO, VP of Finance, or Revenue Cycle Director focused on your systems knowledge and denial management approach. A final round typically involves a panel with department stakeholders or a case-based exercise where you diagnose a billing problem and present a remediation plan. References are checked before an offer is extended.
Where can I find and apply to director of billing jobs?
You can find and apply to director of billing jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your background, industry, and preferred location, then apply directly to each one that fits.
See All 18 Director of Billing Jobs
Find roles that match your experience and apply in just a few clicks.
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