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

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