Home Healthcare Claims Pre-Billing Audit Manager

CenterWell Home Health•Louisville, KY

8d•Remote

About The Position

Become a part of our caring community and help us put health first The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering measurable improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and reduce variation in billing practices. The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering measurable improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and reduce variation in billing practices. Strategic Leadership Establish and execute the vision for centralized pre-billing aligned with organizational revenue cycle strategy. Drive standardization of processes across markets, ensuring consistent application of billing readiness practices. Develop performance dashboards, KPIs and SLAs to measure team effectiveness and financial impact. Operational Oversight Lead and mentor Pre-Bill Supervisors to ensure timely and accurate claim readiness across multiple regions. Monitor national unbilled metrics and implement action plans to sustain improvement. Oversee audit readiness for Medicare, Medicaid and commercial payers; ensure pre-billing activities meet compliance standards. Serve as the escalation point for complex payer issues, systemic process barriers or cross-functional challenges. Collaboration & Partnership Partner with Region and Area leadership, Finance, Compliance, and other corporate teams to align pre-billing strategy with enterprise goals. Collaborate with IT and HCHB support teams to optimize system workflows, reporting and automation opportunities. Provide updates to executive leadership on performance, risks and opportunities for scale. People Leadership Build a high-performing centralized team through effective recruiting, onboarding, coaching and talent development. Foster a culture of accountability, continuous improvement and data-driven decision-making. Support professional growth and career pathing for Pre-Bill Supervisors and Specialists. Use your skills to make an impact

Requirements

Bachelor's degree in healthcare administration, business, or a related field; in lieu of a degree, a minimum of 8 years of home health experience, including at least 2 years in a leadership role.
2+ years of experience in a leadership role.
7+ years of experience in home health.
Deep knowledge of Medicare and Medicaid billing requirements.
Proven ability to lead large, distributed teams and manage to performance targets.
Exceptional communication, relationship-building and change-management skills.
Strong analytical and problem-solving abilities, with demonstrated success in using data to drive operational decisions.
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Nice To Haves

Strong understanding of system workflows in Homecare Homebase (HCHB) preferred.

Responsibilities

Establish and execute the vision for centralized pre-billing aligned with organizational revenue cycle strategy.
Drive standardization of processes across markets, ensuring consistent application of billing readiness practices.
Develop performance dashboards, KPIs and SLAs to measure team effectiveness and financial impact.
Lead and mentor Pre-Bill Supervisors to ensure timely and accurate claim readiness across multiple regions.
Monitor national unbilled metrics and implement action plans to sustain improvement.
Oversee audit readiness for Medicare, Medicaid and commercial payers; ensure pre-billing activities meet compliance standards.
Serve as the escalation point for complex payer issues, systemic process barriers or cross-functional challenges.
Partner with Region and Area leadership, Finance, Compliance, and other corporate teams to align pre-billing strategy with enterprise goals.
Collaborate with IT and HCHB support teams to optimize system workflows, reporting and automation opportunities.
Provide updates to executive leadership on performance, risks and opportunities for scale.
Build a high-performing centralized team through effective recruiting, onboarding, coaching and talent development.
Foster a culture of accountability, continuous improvement and data-driven decision-making.
Support professional growth and career pathing for Pre-Bill Supervisors and Specialists.