Payroll Billing & AR Compliance Manager

BrightStar Care of Santa Barbara and W. Ventura Counties•Santa Barbara, CA

1d•$85,000 - $94,000

About The Position

The Payroll Billing & Accounts Receivable Compliance 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.

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
Deep 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 payroll billing 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-Billing Reconciliation - 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
Train teams on documentation, coding, and billing requirements
Serve as escalation point for complex payer issues