Director of Billing and Reimbursement

Waterloo, WI - USA

Monthly Salary: Not Disclosed

Posted on: 11 hours ago

Vacancies: 1 Vacancy

Job Summary

VGM & Associates is the nations largest and most comprehensive Member Service Organization (MSO) for post-acute healthcare including DME/HME Respiratory Sleep Wound Care Complex Rehab Womens Health Home Modifications and Orthotics & Prosthetics providers. Over 2500 providers with nearly 7000 locations rely on VGM to connect them to valuable resources every single day.

Position Summary

The Director of Billing and Reimbursement provides expert guidance to Home Medical Equipment (HME) providers on optimizing billing operations ensuring regulatory compliance and maximizing reimbursement across payer types. This role analyzes end-to-end revenue cycle performance identifies process gaps and implements strategies to improve claim accuracy reduce denials and accelerate cash flow. The Director stays current on Medicare Medicaid and commercial payer rules specific to DME/HME and partners closely with clients to train staff enhance documentation practices and establish scalable billing workflows. Through data-driven insights and industry expertise this role helps HME organizations strengthen operational efficiency financial performance and long-term sustainability.

Whats more At VGM Group we are 100% employee owned. Click to view more about VGM!

Reporting Accountability: SVP of Membership

Working Location: Waterloo IA or remote with travel as needed for business.

Work Hours Classification: Monday-Friday 8-5pm

Key Responsibilities

Monitor and research any new legislative/regulatory alerts at the state and federal level.
Provide expert guidance to HME providers on optimizing billing operations and reimbursement practices.
Ensure compliance with Medicare Medicaid and commercial payer requirements specific to DME/HME.
Analyze end-to-end revenue cycle performance to identify gaps and operational improvement opportunities.
Develop and implement strategies to improve claim accuracy reduce denials and accelerate cash flow.
Stay current on evolving payer rules billing regulations and industry best practices.
Partner closely with clients to train billing teams and enhance documentation quality.
Design scalable efficient billing workflows to support organizational growth.
Use data-driven insights to improve operational efficiency and financial performance.
Support HME organizations in strengthening long-term sustainability through effective reimbursement strategies.
Frequent interaction with VGM Government Relations members will occur.
Monitor and respond to Discussion Board and other inquiries as appropriate.
Assist in the development of website content for members to educate themselves on reimbursement inquiries.
Continuously evaluate and update technology driven knowledge assets to reflect current policies regulatory changes and member needs ensuring high quality automated engagement and self-service support.
Provide content for VGM newsletters and updates provided to members
Answer internal billing reimbursement questions via telephone or in person.
Produce content for policy updates and industry articles.
Posting/monitoring social media for opportunities.
Help prepare formal presentations and participate in formal presentations.
Perform other routine administrative tasks as needed.

Position Qualifications

Bachelors degree in business Healthcare Administration Finance ora related field; Masters degree preferred.
3-5 years of progressive experience in medical billing reimbursement or revenue cycle management with at least 1-3 years in an influential leadership role preferred.
Deep knowledge of Medicare Medicaid and commercial payer regulations specific to DME/HME billing.
Proven experience improving claim accuracy reducing denials and increasing cash flow.
Strong understanding of end-to-end revenue cycle processes including documentation coding claim submission payment posting and appeals.
Demonstrated ability to analyze billing data interpret trends and provide actionable recommendations.
Experience developing and implementing standardized billing workflows and scalable processes.
Proficiency with HME/DME billing software revenue cycle platforms and payer portals.
Excellent communication client facing and relationship building abilities.
Strong problem-solving skills with a continuous improvement mindset.
Ability to manage multiple client projects and deliver high quality results under deadlines.
Experience reading and interpreting legislation and regulations with the ability to summarize to internal and external customers
Capacity to write news publications/articles and social media posts
Solid working knowledge of Excel and relevant software such as MS-office: Word PowerPoint etc.
Sound interpersonal verbal and written communication skills
Strong critical thinking skills and dedication to research.

Physical Requirements

Working at a physical desk moving about the office and facility as needed for work.
Operation of office equipment and using technology efficiently such as computers phones misc. office equipment.
Visual abilities include reading distance vision and peripheral vision.
Travel to meetings conferences and events.

Learn more about VGM Group Inc:

Headquartered in Waterloo Iowa VGM is a 100% employee-owned company providing business and professional services to thousands of business customers across North America. Services include group purchasing commercial insurance management of healthcare services and networks in post-acute cases healthcare distribution direct to patient homes specialty consulting online education digital print and traditional marketing and more. VGM employs approximately 1700 people across 40 states and Canada with more than 1100 working in Iowa. VGM has been named the Top Workplace in Iowa on multiple occasions and is proud of its role in the communities in which it serves. For more information visit .

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program employees are also eligible for performance-based cash incentive awards.

This job description reflects the general duties of the job but is not a detailed description of all duties which may be inherent to the position. Reasonably related additional duties may be assigned to the individual Associate.

VGM Group Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

This policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.

Required Experience:

Director