Manager, Pre-Billing Revenue Cycle Operations
New
B
BAYADA Home Health CareHome Health Care
Remote: TrueFull-TimeManager
Salary$ 72,000-85,000 / 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 (or equivalent experience).
- 5+ years of revenue cycle experience.
- 2–3 years of experience in home health or post-acute care.
- Strong knowledge of Medicare home health requirements.
- Familiarity with Patient-Driven Groupings Model (PDGM).
- Demonstrated leadership and team management experience.
- Experience with home health Electronic Medical Record (EMR) platforms such as Homecare Homebase (HCHB).
- Advanced Microsoft Office and data analysis skills.
- Strong written and verbal communication skills.
- Ability to read, write and effectively communicate in English.
Responsibilities
- Ensure complete and accurate insurance verification before start of care (SOC).
- Evaluate referrals for financial and reimbursement risk, including high-risk non-Medicare cases.
- Partner with clinical and sales teams to ensure appropriateness of admissions and financial viability.
- Develop and implement front-end gatekeeping processes to avoid high-risk admissions.
- Drive reduction in charge lag and days to bill.
- Monitor and mitigate risk of non-payment through root cause analysis of write-offs.
- Develop, track, and report on key performance indicators including authorization times and denial rates.
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