Billing and Revenue Cycle Manager
About The Position
The Billing and Revenue Cycle Manager oversees the integrity, accuracy, and compliance of payroll-driven billing and receivables processes. In a home care setting, this role ensures caregiver hours flow cleanly from payroll into billing; claims meet payer requirements, and collections are timely and audit-ready. The position emphasizes oversight, controls, and continuous improvement rather than day-to-day transaction processing. We are prioritizing local candidates to ensure we can fill this position promptly. This is a full‑time, salaried, on‑site position requiring in-office hours at our Santa Barbara office, Monday–Friday, 8:30am–5:00pm.
Requirements
- Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field (or equivalent experience)
- 5+ years in billing, revenue cycle, or AR; 2+ years in an oversight or leadership role
- Experience in home care, home health, or healthcare services strongly preferred
- Understanding of Medicaid waiver programs, EVV, authorizations, and payer billing rules
- Proven experience with AR management, aging, denials, and collections strategies
- Familiarity with payroll-to-billing reconciliation in time-based services
- Strong analytical skills; advanced Excel or reporting tools experience
- Experience with Monday.com
Responsibilities
- Oversight & Governance: Own policies, controls, and standard operating procedures across billing, payroll, and AR. Monitor end-to-end flow from time capture → payroll → billing → collections. Establish KPIs, dashboards, and regular performance reviews.
- Billing Compliance: Ensure claims and invoices meet Medicaid, Medicare (if applicable), VA, and private-pay requirements. Validate authorization, eligibility, EVV (Electronic Visit Verification), and rate accuracy prior to billing. Maintain audit trails and documentation standards.
- Accounts Receivable Oversight: Oversee aging, collections strategy, and cash application accuracy. Identify trends in denials, underpayments, and write-offs; drive corrective actions. Set targets for DSO, aging buckets, and recovery rates.
- Payroll Oversight: Oversee payroll ensure field staff hours, pay codes, and rates reconcile to billed units and payer rules. Investigate discrepancies between payroll, scheduling/EVV, and billing systems. Partner with Payroll and Operations to resolve root causes. Manage and process company bills and payments in a timely manner.
- Compliance & Risk Management: Lead internal audits and support external audits. Stay current on state/federal home care regulations and payer bulletins. Implement controls to prevent fraud, waste, and abuse.
- Systems & Process Improvement: Optimize workflows across scheduling/EVV, payroll, and billing platforms. Collaborate with IT and vendors on system enhancements and integrations. Drive automation to reduce errors and cycle times using Monday.com.
- Cross-Functional Leadership: Partner with Operations, Clinical, Payroll, and Intake/Authorizations. Supervise team of 3. Train teams on documentation, coding, and billing requirements. Serve as escalation point for complex payer issues.
Benefits
- 401k plan after 1yr and 1000 hours worked
- 100% Employer paid, Medical (MEC), Dental Vision and Life Insurance, after 90 days, if qualified
- Discounted CPR/First Aid and AED certification
- Earn up to 40hrs of paid sick time off per year, available for use after 90 days
- Employee Recognition Program, earn points that can be traded for gift cards and other special rewards
- Employee Referral Bonus, earn up to $150 bonus if qualified
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
251-500 employees
