Billing Manager, Medical Care at Home

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement

What You Will Do

• Oversees all aspects of medical practice billing and revenue cycle operations, including charge capture, coding review, claim submission, denial management, and accounts receivable follow-up.
• Manages a team responsible for day to day billing operations, ensuring productivity, accuracy, and adherence to established policies, procedures, and timelines.
• Monitors and drives key revenue cycle performance metrics (e.g., clean claim rate, denial rate, days in A/R, net collection rate), implementing strategies to improve financial outcomes and reduce revenue leakage.
• Develops and implements processes to prevent, identify, and resolve claim denials, underpayments, and reimbursement issues in a timely and effective manner.
• Provides hands-on support for complex or escalated billing issues, including review and resolution of high-priority claims and appeals.
• Oversees performance and accountability of external billing vendors and clearinghouses, including management of service level agreements, quality metrics, and issue resolution.
• Ensures compliance with federal, state, and payer-specific billing regulations, including proper use of CPT, ICD-10, and HCPCS coding standards.
• Collaborates with clinical and administrative teams to ensure accurate charge capture, documentation, and coding practices that support optimal reimbursement.
• Identifies trends and root causes of billing and reimbursement issues; develops and implements corrective action plans and process improvements.
• Establishes and maintains tracking and reporting to monitor billing performance, track key metrics, and inform leadership decision-making.
• Supports implementation and optimization of billing systems, workflows, and technologies to improve efficiency and accuracy.
• Performs all duties inherent in a managerial role, including hiring, coaching, performance management, and staff development. Participates in budget planning and ensures adherence to departmental financial goals
• Participates in special projects and performs other duties as assigned.

Education:

• Bachelor's Degree in healthcare administration, business, or related field; or the equivalent work experience required

Work Experience:

• Minimum of 5-7 years of experience in healthcare billing, claims processing, or revenue cycle management. required
• Experience with physician/practice billing, ambulatory care, or home-based care billing preferred
• Proven leadership and team management skills required
• Minimum of 2-3 years of leadership or supervisory experience managing billing or revenue cycle teams preferred
• Demonstrated experience managing billing vendors or outsourced revenue cycle functions. preferred
• Proficient PC skills, and particularly proficiency in Microsoft Excel and reporting tools required
• Experience working with electronic health records (EHR), practice management systems, and billing/claims platforms required
• Strong knowledge of end-to-end revenue cycle processes, including charge capture, coding, claims submission, denial management, and accounts receivable follow-up required
• Experience in problem-solving and analytical skills required
• Working knowledge of CPT, ICD-10, and HCPCS coding required
• Knowledge of healthcare regulations, payer requirements, and compliance standards related to billing and reimbursement required
• Effective communication skills, both written and oral required