Hospital Billing and SBO Director

Job Requisition #: JR59160

End Date: 11/30/2021

Location: Newark, Delaware

Position Type: Management/Executive, Professional

Shift: Day Shift, No Rotation

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ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America's Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region.  We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®. 

ChristianaCare is looking for a full-time Hospital Billing and SBO Director to oversee ChristianaCare's hospital billing operations including claims management, insurance and self-pay remittance posting, accounts follow-up, denials management, payment variance, (SBO) single billing office and customer service.


  • Directs the overall management of business services operations to ensure positive cash flow for the system from patient services.

  • Directs and administers the revenue cycle operations, programs, and related activities of the Hospital Billing Director, to ensure compliance with the policies, procedures, philosophy and goals of the System and Federal & State regulatory agencies.  

  • Responsible for timely, accurate and effective billing practices for all hospital revenue and related collection activity including daily operation, direction, and supervision of third-party billing and follow-up, patient outstanding balance statement and follow-up, payment posting, financial assistance, and customer service.

  • Develops, designs, implements and continuously evaluates the quality and performance improvement within the Hospital Revenue Cycle including, but not limited to workflows, policies and procedures, tools, controls and reports that support an efficient, high performing billing cycle.

  • Directs and mentors management team and staff, providing direction and guidance that fosters a positive team environment through training, recognition/evaluation, and revenue cycle specific education which produces optimum work habits. 

  • Assists in the development of annual departmental goals and objectives.  Reviews and ensures departmental performance and productivity meets or exceeds established standards.

  • Monitors and produces best practice standards (KPI's) in a hospital billing environment including days in A/R, cash/net revenue, A/R aging, denials management, credit balances, and other relevant performance indicators.

  • Establishes appropriate departmental priorities and sets the standards for the quality of the work of the department.

  • Hires, evaluates and reviews performance of managers within the hospital billing revenue cycle. Responsible to ensure all staff performance reviews are completed within the system expectations. Responsible to ensure all staff are following reasonable work expectations for productivity and quality, for the timely resolution of accounts receivable.

  • Works with select revenue cycle vendors to optimize performance and patient satisfaction. 

  • Ensures accounts receivable are at accurate net receivables, based on current contracted rates.

  • Assists in the preparation of the capital and operating budgets.  Ensures department operations expenses are maintained within budgeted projections.

  • Fosters positive relationships and ensures effective communication throughout ChristianaCare, with patients, insurance companies, vendors and all external contacts.

  • Promulgates ChristianaCare's core values and behaviors throughout Revenue Cycle and the healthcare system.

  • Assists the Corporate Director, Revenue Cycle as needed.


  • Bachelor of Science degree in Accounting, Finance Management or a related field

  • Master's Degree preferred

  • Five years of experience in a healthcare related field

  • Three to five years in a progressive management position

  • An equivalent combination of education and experience may be substituted

  • Experience with Soarian Financial/Millennium preferred

  • Experience with a SBO and Customer Service required


  • Collaborative and team focused environment

  • Management Incentive Plan (annual)

  • Full Medical, Dental, Vision, Life Insurance, etc.

  • 403(b)

  • Generous paid time off

EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.


ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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Our Region

A Great Place To Live

Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located between Philadelphia and Washington, D.C., our locations provide easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!

Why Delaware? Why Maryland?

We Serve Together

For the Love of Health

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