Billing & Collections Manager

Care Hospice•,

3d•$80,000 - $90,000

About The Position

Care Hospice is seeking an experienced Billing & Collections Manager to lead its centralized Revenue Cycle Management (RCM) team and oversee billing, accounts receivable, and collections across hospice agencies nationwide. The role combines healthcare billing and revenue cycle expertise with hands-on people leadership, process improvement, and operational oversight. The manager will coach and develop employees, establish performance expectations, and drive measurable results through productivity, quality, timeliness, and collections metrics. The successful candidate will bring strong knowledge of Medicare, Medicaid, and Commercial/Managed Care reimbursement and experience managing a team through operational change. Hospice or other post-acute healthcare experience is strongly preferred. The role also involves maintaining accurate and compliant billing and financial processes and collaborating with agency leadership and Support Center teams.

Requirements

At least 3 years of direct people-management experience, including performance evaluations, coaching, employee development, and corrective action.
At least 3 years of medical billing and collections management experience, with a strong understanding of accounts receivable and revenue cycle operations.
Demonstrated success managing team performance through measurable KPIs, productivity expectations, quality standards, and accountability for results.
Strong working knowledge of Medicare, Medicaid, and Commercial/Managed Care billing, reimbursement, and payer requirements.
Experience identifying operational gaps, implementing process improvements, and leading teams through organizational or workflow changes.
Experience with third-party billing systems and electronic medical records (EMRs).
Strong communication, problem-solving, and cross-functional collaboration skills, including the ability to set expectations, make decisions, and build productive working relationships.
Ability to balance hands-on operational knowledge with effective team leadership and strategic oversight.
High degree of professionalism, discretion, and commitment to confidentiality.
Florida applicants must complete a background screening through the Florida Care Provider Background Screening Clearinghouse.

Nice To Haves

Hospice, post-acute healthcare, or long-term care revenue cycle experience.
NetSmart or MatrixCare experience.
Bachelor's degree in Accounting, Business Administration, or another applicable discipline.

Responsibilities

Lead and manage the centralized billing and collections team, providing direction, coaching, performance feedback, and employee development.
Establish accountability and performance expectations for productivity, quality, timeliness, and collections results.
Conduct performance evaluations, address performance concerns, implement corrective action when necessary, and support employee development.
Oversee billing, claims submission and follow-up, accounts receivable, and collections to maximize reimbursement, reduce aged receivables, and improve cash flow.
Monitor and analyze KPIs, identify performance trends and barriers, and implement action plans to achieve departmental goals.
Provide hands-on guidance and problem-solving for complex billing, reimbursement, and collection issues.
Evaluate workflows, identify operational gaps, and implement sustainable process improvements.
Ensure billing practices, patient account records, cash receipts, and related financial processes are accurate, timely, and compliant with regulations, internal controls, and organizational policies.
Partner with agency leadership and cross-functional Support Center teams to resolve billing issues, improve processes, and ensure accurate patient and account information.
Develop, maintain, and communicate departmental policies, procedures, and best practices.