Mgr, Revenue Cycle
About The Position
The Manager, Home Health Billing Operations provides leadership and oversight for home health billing and accounts receivable functions that support the organization's revenue cycle objectives. This role is responsible for ensuring accurate claim submission, payment reconciliation, payer follow-up, denial resolution, collections management, and ongoing process improvement efforts. The Manager partners closely with Finance, Revenue Cycle, Clinical Operations, and external payers to support financial performance while maintaining compliance with regulatory and contractual requirements. The position manages experienced professionals and/or supervisors, provides technical guidance, and is accountable for team performance, operational effectiveness, and achievement of departmental goals. The Manager adapts departmental plans, establishes priorities, addresses operational challenges, and supports strategic initiatives aligned with organizational objectives.
Requirements
- Bachelor's degree in a related field
- 5+ years of work experience in a related job discipline
Responsibilities
- Lead and oversee home health billing operations, including claim submission, accounts receivable management, payer follow-up, collections, cash posting, refund processing, and denial management.
- Ensure accurate and timely billing in accordance with payer, regulatory, and contractual requirements.
- Monitor operational performance and implement strategies to improve reimbursement outcomes and revenue realization.
- Collaborate with internal and external stakeholders to resolve billing issues and optimize workflows.
- Develop and maintain policies, procedures, and best practices that support efficient revenue cycle operations.
- Partner with Finance and operational leaders to evaluate reimbursement trends, payer performance, and revenue opportunities.
- Ensure effective implementation of revenue cycle strategies from service delivery through reimbursement.
- Provide leadership for departmental initiatives, projects, and continuous improvement efforts.
- Collaborate across disciplines to evaluate services, improve processes, and support operational goals.
- Ensure efficient use of resources while maintaining service excellence and quality standards.
- Lead the planning, coordination, implementation, and monitoring of operational and strategic projects.
- Develop project plans, timelines, resource requirements, and communication strategies.
- Track project progress and provide updates to stakeholders.
- Ensure projects support organizational goals and operational priorities.
- Recruit, hire, coach, mentor, and develop team members.
- Support employee engagement, retention, and professional development initiatives.
- Conduct performance evaluations and partner with leadership to address performance concerns and recognize achievements.
- Establish effective onboarding and training programs for new employees.
- Promote a culture of accountability, collaboration, and continuous improvement.
- Monitor financial performance, productivity measures, and operational metrics.
- Analyze trends, identify opportunities for improvement, and implement corrective actions when needed.
- Maintain internal controls and ensure compliance with organizational financial policies and procedures.
- Stay current on payer regulations, reimbursement requirements, and industry best practices.
- Support reporting and analysis related to accounts receivable performance and reimbursement outcomes.
- Promote a patient- and family-centered approach to financial services.
- Ensure timely resolution of customer service concerns related to billing and reimbursement.
- Maintain quality standards and support ongoing compliance and audit readiness activities.
Benefits
- Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
