Manager, Pre-Billing Revenue Cycle Operations

New
B
BAYADA Home Health CareHome Health Care
Remote: TrueFull-TimeManager
Salary72,000 - 85,000 USD per year
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Job Details

Languages
English
Experience
Five (5)+ years of revenue cycle experience, with at least two to three (2–3) years in home health or post-acute care.
Required Skills
Data AnalysisMicrosoft Office

Requirements

  • Bachelor’s degree in Healthcare Administration, Business, Nursing, or related field
  • 5+ years of revenue cycle experience
  • 2–3 years in home health or post-acute care
  • Demonstrated experience in front-end revenue cycle functions
  • Strong knowledge of Medicare home health requirements
  • Proficiency with Patient-Driven Groupings Model (PDGM)
  • Proven leadership and team management experience
  • Experience with home health EMR platforms such as Homecare Homebase
  • Advanced Microsoft Office and data analysis skills
  • Strong written and verbal communication skills
  • Ability to communicate in English

Responsibilities

  • Ensure complete and accurate insurance verification before start of care
  • Evaluate referrals for financial and reimbursement risk
  • Partner with clinical and sales teams to ensure financial viability
  • Develop and implement front-end gatekeeping processes
  • Drive reduction in charge lag and days to bill
  • Support Notice of Admission (NOA) timeliness
  • Monitor and mitigate risk of non-payment
  • Analyze trends in front-end errors contributing to denials
  • Develop, track, and report on key performance indicators
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72,000 - 85,000 USD per year
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