Job Description
Job description:
Job Title: Billing Manager Home Health & Hospice
Reports To: VP, Shared Services
Location: Carmel, Indiana/can be remote
Employment Type: Full-Time
Position Overview
The Billing Manager oversees the end-to-end revenue cycle for home health and hospice services, ensuring timely and accurate claim submission, reimbursement, and compliance with payer requirements. This role plays a critical part in maintaining the financial health of the organization by managing billing operations, optimizing collections, and leading a team of billing professionals. The Billing Manager utilizes Home Care Home Base (HCHB) to streamline workflows and maintain documentation integrity.
Core Responsibilities
Billing & Claims Oversight
- Direct the preparation and electronic submission of claims to Medicare, Medicaid, and commercial payers via HCHB.
- Monitor unbilled claims and proactively address delays to prevent denials due to timely filing limits.
- Manage claim follow-up, denial resolution, appeals, and adjustment postings.
- Conduct monthly reviews of accounts receivable and ensure consistent follow-through on outstanding balances.
Revenue Cycle & AR Management
- Partner with finance leadership to assess uncollectible accounts and recommend third-party collection strategies.
- Ensure accurate payer configurations and authorization entries in HCHB.
- Oversee insurance verification and prior authorization processes for applicable services.
Stakeholder Communication & Support
- Serve as a primary point of contact for billing-related inquiries from patients, families, payers, and internal teams.
- Identify trends in denials or billing errors and collaborate with quality assurance to implement corrective actions.
Compliance & Documentation
- Maintain strict adherence to HIPAA regulations, Medicare billing guidelines, and industry standards.
- Ensure all billing actions and communications are thoroughly documented within HCHB.
- Support internal audits and compliance initiatives as needed.
Team Leadership & Development
- Train, mentor, and support billing team members to ensure high performance and professional growth.
- Foster collaboration across clinical and financial departments to enhance billing accuracy and efficiency.
- Participate in team meetings and contribute to a culture of continuous improvement.
Qualifications
Education & Experience
- High School Diploma or GED required; Associate's or Bachelor's degree in Business, Accounting, or Healthcare Administration preferred.
- Minimum 1 year of medical billing experience required; prior experience in home health or hospice billing strongly preferred.
- Proficiency with Home Care Home Base (HCHB) is required or highly preferred.
- Familiarity with clearinghouses (e.g., Waystar) and interpreting Explanation of Benefits (EOBs).
Skills & Competencies
- In-depth knowledge of Medicare, Medicaid, and commercial insurance billing protocols.
- Strong organizational, analytical, and time management skills.
- Ability to work independently and meet deadlines in a dynamic environment.
- Excellent written and verbal communication abilities.
- Collaborative mindset with a commitment to team success.
Physical Requirements
- Extended periods of computer-based work.
- Occasional lifting of up to 15 pounds.
- Frequent use of hands, hearing, and vision for phone and computer tasks.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
Job Tags
Full time, Remote work,