Billing Manager

Pivot Home Health • Denver, CO

1d • $70,000 - $90,000 • Hybrid

About The Position

The Billing Manager is responsible for the accurate and timely preparation, submission, and follow-up of medical claims to payers. This role ensures all billing activities are performed in accordance with applicable federal, state, and payer-specific guidelines. This position plays a key role in supporting the organization’s financial health and adherence to HIPAA regulations.

Requirements

• Team leadership experience.
• Minimum of 5 years of healthcare billing experience, preferably in home health or similar healthcare setting.
• Strong understanding of medical billing processes, including Medicare/Medicaid and commercial insurance.
• Familiarity with claim forms (e.g., CMS-1500), billing codes (ICD-10, CPT/HCPCS), and modifier usage.
• Strong attention to detail with the ability to identify and resolve billing discrepancies.
• Ability to work independently, manage multiple tasks, and meet deadlines in a fast-paced environment.
• Understanding of healthcare documentation and how it impacts billing and reimbursement.

Responsibilities

• Manages claim submissions, payment posting, denial management, and accounts receivable.
• Ensures adherence to federal and state healthcare billing regulations and insurance policies.
• Tracks key performance indicators like denial rates, clean claim rates, and days in accounts receivable.
• Hires, trains, and supervises billing staff and coordinates with outside vendors.
• Prepare and submit accurate claims to Medicare, Medicaid, commercial insurance, and other third-party payers.
• Maintain a clear understanding of billing codes, modifiers, and payer requirements to minimize rejections and denials.
• Monitor claim statuses and follow up promptly on unpaid, denied, or underpaid claims.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed