Director, Billing and Revenue Cycle Management

This is a fully remote position, open to applicants in Alabama, +24 more states.

📋 Description

• Lead and supervise a billing team comprising 10–15 individuals within the home care sector.

• Manage the preparation and submission of Medicaid and Managed Care claims.

• Resolve claim denials, rejections, underpayments, and overpayments; resubmit claims as necessary.

• Create and implement training programs for the billing team.

• Collaborate with payroll, client-facing teams, Managed Care Organizations (MCOs), and other cross-functional departments.

• Work with IT to address system issues and develop technical solutions for billing.

• Track billing performance and collections objectives.

• Reconcile billing accounts with the general ledger and ensure billing records align with financial statements.

• Document and standardize billing processes for improved efficiency, accuracy, and compliance.

• Analyze billing data and deliver actionable insights utilizing Excel.

• Ensure adherence to state and federal regulations, including HIPAA compliance.

• Foster staff development and cultivate a high-performance culture centered on accuracy, customer service, and team advancement.

⛳️ Requirements

• Minimum of 3 years of experience in revenue cycle management.

• Over 5 years of experience in Medicaid billing and Managed Care programs, particularly within the home care industry is preferred.

• Demonstrated experience in managing a team of 10–15 billing personnel.

• Advanced proficiency in Excel, including VLOOKUPs, pivot tables, and various formulas.

• Comprehensive understanding of Medicaid portals and EDI claims systems, including 837, 835, 276, 277, 834, 270, 271, and 999 files.

• Strong background in reconciliation processes.

• Familiarity with billing, payments, and aligning general ledger entries.

• Ability to collaborate effectively with payroll, client-facing, and IT teams.

• Strong critical thinking and problem-solving abilities related to billing discrepancies and system challenges.

• Skills in training and development.

• Experience in documenting and formalizing operational procedures.

• Capacity to work independently and manage a remote team.

• Experience with NetSuite or comparable accounting software is advantageous.

• Knowledge of state and federal regulations, including HIPAA compliance.

🏝️ Benefits

• Generous paid time off.

• Potential for annual bonuses.

• Support for retirement savings.

• Opportunities for career advancement.

• Paid training sessions.

• Internal and external learning opportunities.

• Positive work environment.

• Shared employer contribution to health insurance costs.

• Employer-covered disability insurance.

• Employer-provided life and AD&D insurance.

• Vision insurance coverage.

• Cancer insurance options.

• Voluntary life insurance availability.

• Remote work flexibility.

• Paid holidays.

• Emphasis on work/life balance.