Accounts Receivable & Billing Manager
- Oversee and manage the full billing process including charge entry, claim submission, payment posting, reconciliation, and accounts receivable follow-up.
- Ensure accurate and timely billing to AHCCCS, UnitedHealthcare, Medicare/Medicaid, and other third-party payors using systems such as Waystar, WellSky Personal Care, and Sandata.
- Review claims and documentation to ensure compliance with payer and regulatory requirements.
- Monitor accounts receivable performance, aging reports, and implement timely follow-up strategies to reduce days in AR.
- Perform daily check deposits, accurate payment posting, and reconciliation of remittances.
- Initiate and manage collection outreach to payors for unpaid, underpaid, or denied claims.
- Serve as the primary contact with insurance payors to resolve payment issues, adjudicate denials, and secure timely reimbursement.
- Manage or coordinate payer credentialing and re-credentialing activities to maintain active billing status with key networks.
- Analyze and address denials and underpayments, including resubmissions, appeals, and payer communication.
- Audit billing processes and identify opportunities for workflow improvement and error reduction.
- Train, coach, and oversee billing and AR staff; support process improvements and performance expectations.
- Collaborate with clinical and administrative teams to ensure accurate documentation and billing integrity.
- Prepare regular reports on billing status, receivables, denials, cash collections, and operational performance.
- Ensure compliance with HIPAA, billing regulations, and internal policies.
- Minimum of three years of progressive experience in medical billing, accounts receivable, and revenue cycle management, preferably in home care, home health, or a related healthcare setting.
- Familiarity with AHCCCS billing requirements and commercial payor rules (e.g., UnitedHealthcare).
- Proficiency with billing systems including Waystar, WellSky Personal Care, and Sandata EVV platforms.
- Strong payer communication skills with demonstrated experience resolving complex billing issues.
- Solid skills in payment posting, reconciliation, and reporting tools.
- Excellent organizational, analytical, and problem-solving abilities.
- Ability to work independently and lead a team in a fast-paced environment.
- Experience managing credentialing and payer enrollment processes.
- Familiarity with home care documentation and compliance standards.
- Prior leadership or supervisory experience.
- Be part of a mission-driven organization focused on servant leadership and exceptional care.
- Lead important finance and revenue cycle functions for a top-ranked home care provider.
- Work onsite with a collaborative and supportive team environment.
- Opportunity for growth and leadership development.
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