Director of Billing

Director of Billing Abeo Solutions, Inc Austin, TX Job Details Full-time From $120,000 a year 1 day ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Strategic management Customer retention Scalable systems Improving operational efficiency Team management Recruiting Organizational skills Scalability Analytics Full Job Description About the Company Every day, over 10,000 eye care professionals log into Crystal's software before they see their first patient. We're the operating system behind independent eyecare — the EHR, practice management, billing, scheduling, and payments platform that keeps these practices running smoothly. With new leadership, fresh growth capital from top-tier software and search fund investors, and a clear runway to $35mm+ in ARR, Crystal is at an inflection point. We're not a startup - we're a market leader focused on long-term value creation. That means building the team, the product, and the go-to-market engine to execute on our ambitious goals. Crystal RCM (Abeo Billing) is a critical growth lever for the business — and a significant opportunity to modernize, scale, and lead in revenue cycle management for eyecare practices. We're assembling a team that matches the opportunity. If that sounds like your kind of challenge, we'd like to hear from you. About the Role We're looking for a Director of Billing to own and transform Crystal's Revenue Cycle Management (RCM) business. This is a highly strategic, hands-on leadership role responsible for client outcomes, operational performance, team leadership, and building the systems required to scale. This is not a "manage what exists" role — this is a builder role. Crystal RCM has strong fundamentals but requires operational rigor, modern workflows, and technology enablement to reach its full potential. You will lead that transformation. You will own the end-to-end billing operation: onboarding new clients, managing ongoing billing performance, improving collections, leading a team of billing specialists, and implementing scalable processes, automation, and reporting. You'll also serve as the director point of contact for clients, ensuring they see measurable financial outcomes from our services. This role is built for a revenue cycle leader who understands optometry/ophthalmology workflows, thrives in ambiguity, and is motivated to build, optimize, and scale a high-impact services business. Key Responsibilities Own Client Outcomes & RCM Performance Own financial performance across the RCM book of business, including collections, A/R, claim resolution, and overall revenue cycle efficiency Serve as the director point of contact for billing clients, building strong relationships with practice owners, office managers, and billing teams Ensure consistent, accurate, and timely claims submission, payment posting, A/R follow-up, and appeals processes Identify revenue leakage, operational inefficiencies, and denial trends, and implement corrective actions Deliver clear, data-driven reporting to clients on performance, outcomes, and opportunities for improvement Lead Onboarding & Implementation Own onboarding and go-live process for new RCM clients, ensuring clean, efficient transitions and minimal disruption to cash flow Conduct discovery, workflow alignment, and system setup for new partners Establish implementation playbooks, timelines, and success criteria for new client launches Build & Scale the Operation Design and implement scalable RCM workflows, SOPs, and playbooks across claims, A/R, payments, and reporting Introduce automation, tooling, and system improvements to increase efficiency, accuracy, and throughput Establish performance metrics, dashboards, and accountability structures across the team Evaluate and optimize staffing models, capacity planning, and team structure Drive continuous improvement across the operation with a focus on speed, quality, and cost efficiency Lead, Manage & Develop the Team Lead, coach, and develop a team of billing specialists and operational staff Own hiring, onboarding, training, and performance management for the RCM team Create a high-accountability, high-performance culture with clear expectations and measurable outcomes Serve as the escalation point for complex billing issues, payer challenges, and client concerns Operate Cross-Functionally & Drive Strategy Serve as the voice of the customer for RCM, identifying product gaps, payer trends, and workflow improvements Collaborate with Sales on pricing, packaging, and positioning of RCM services Contribute to the long-term strategy and growth of Crystal RCM as a core business line Key Performance Indicators (KPIs) Net collections rate and overall collections performance across clients Days in A/R and reduction of aging buckets Claim acceptance rate and denial rate trends Time to resolution for claims and A/R issues Client retention and satisfaction within RCM book of business Successful onboarding and time-to-value for new RCM clients Operational efficiency metrics (claims processed per FTE, cost per claim, etc.) Implementation of scalable processes, automation, and reporting infrastructure Qualifications & Experience Required 7+ years of experience in medical billing, revenue cycle management, or healthcare operations Deep expertise in optometry, ophthalmology, or closely related healthcare billing workflows Proven track record of improving collections, reducing A/R, and driving measurable RCM performance outcomes Experience leading and managing billing or RCM teams Strong operational mindset with the ability to build processes, systems, and scalable workflows Client-facing experience with the ability to communicate financial and operational insights clearly Comfort operating in ambiguity and building structure in a growing organization Preferred Experience in outsourced RCM or multi-client billing environments Familiarity with EMR/PMS systems (Crystal PM experience a plus) Experience implementing automation, reporting, or workflow tools within billing operations Experience working cross-functionally in a SaaS or technology-enabled services organization Strong analytical skills with experience using data to drive decisions Compensation Base salary + performance-based incentive compensation tied to collections performance, operational improvements, and client outcomes

Pay:

From $120,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person