Lead, train, and mentor the billing and collections teams
Oversee preparation, review, and submission of claims to Medicare, Medicaid, and commercial payers
Direct end-to-end AR management including payment posting, reconciliation, and follow-up activities
Implement and oversee processes for research, correction, resubmission, and appeal of denied claims
Develop and execute strategic plans for collecting outstanding balances from various payers
Serve as primary escalation point for complex payer issues
Ensure all billing and collections practices adhere to compliance guidelines
Track, analyze, and report on key revenue cycle metrics
Work closely with Intake, Authorization, and Clinical Documentation teams

Minimum of 3 years of experience in healthcare billing and/or collections
Home Health or Hospice experience strongly preferred
Minimum of 1 year of leadership or supervisory experience managing billing, collections, or accounts receivable teams
Deep understanding of Medicare and Medicaid billing and appeals processes
Proven ability to interpret EOBs, remittance advice, payer contracts, and denial reasons
Proficiency with major Home Health or Hospice EMR and billing systems (e.g., HCHB, WellSky / Kinnser, MatrixCare)
Comprehensive knowledge of ICD-10 coding, institutional claim forms (UB-04/CMS-1450), and payer billing rules.

Billing & Collections Lead

Key skills