Billing and Revenue Cycle Manager
Job Description
Pay: $80,000.00 - $85,000.00 per year
Job description:
Billing and Revenue Cycle Manager Overview
The Billing and Revenue Cycle Manager oversees the integrity, accuracy, and compliance of payroll-driven billing and receivables processes. In a home care setting, this role ensures caregiver hours flow cleanly from payroll into billing; claims meet payer requirements, and collections are timely and audit-ready. The position emphasizes oversight, controls, and continuous improvement rather than day-to-day transaction processing.
*We are prioritizing local candidates to ensure we can fill this position promptly.
This is a full‑time, salaried, on‑site position requiring in-office hours at our Santa Barbara office, Monday–Friday, 8:30am–5:00pm*
Benefits:
401k plan after 1yr and 1000 hours worked
100% Employer paid, Medical (MEC), Dental Vision and Life Insurance, after 90 days, if qualified
Discounted CPR/First Aid and AED certification
Earn up to 40hrs of paid sick time off per year, available for use after 90 days
Employee Recognition Program, earn points that can be traded for gift cards and other special rewards
Employee Referral Bonus, earn up to $150 bonus if qualified
Oversight & Governance
Own policies, controls, and standard operating procedures across billing, payroll, and AR
Monitor end-to-end flow from time capture → payroll → billing → collections
Establish KPIs, dashboards, and regular performance reviews
Billing Compliance
Ensure claims and invoices meet Medicaid, Medicare (if applicable), VA, and private-pay requirements
Validate authorization, eligibility, EVV (Electronic Visit Verification), and rate accuracy prior to billing
Maintain audit trails and documentation standards
Accounts Receivable Oversight
Oversee aging, collections strategy, and cash application accuracy
Identify trends in denials, underpayments, and write-offs; drive corrective actions
Set targets for DSO, aging buckets, and recovery rates
Payroll Oversight
Oversee payroll ensure field staff hours, pay codes, and rates reconcile to billed units and payer rules
Investigate discrepancies between payroll, scheduling/EVV, and billing systems
Partner with Payroll and Operations to resolve root causes
Manage and process company bills and payments in a timely manner
Compliance & Risk Management
Lead internal audits and support external audits
Stay current on state/federal home care regulations and payer bulletins
Implement controls to prevent fraud, waste, and abuse
Systems & Process Improvement
Optimize workflows across scheduling/EVV, payroll, and billing platforms
Collaborate with IT and vendors on system enhancements and integrations
Drive automation to reduce errors and cycle times using Monday.com
Cross-Functional Leadership
Partner with Operations, Clinical, Payroll, and Intake/Authorizations
Supervise team of 3
Train teams on documentation, coding, and billing requirements
Serve as escalation point for complex payer issues
Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field (or equivalent experience)
5+ years in billing, revenue cycle, or AR; 2+ years in an oversight or leadership role
Experience in home care, home health, or healthcare services strongly preferred
Understanding of Medicaid waiver programs, EVV, authorizations, and payer billing rules
Proven experience with AR management, aging, denials, and collections strategies
Familiarity with payroll-to-billing reconciliation in time-based services
Strong analytical skills; advanced Excel or reporting tools experience
Experience with Monday.com
Key Metrics (KPIs)
Days Sales Outstanding (DSO)
AR aging (0–30, 31–60, 61–90, 90+)
Clean claim rate / first-pass acceptance
Denial rate and overturn rate
Payroll-to-billing variance rate
Cash collections vs. targets
What Success Looks Like
Clean, audit-ready billing with minimal rework
Reduced denials and faster reimbursement cycles
Tight alignment between payroll, EVV, and billed units
Clear visibility into AR performance and risks
Strong compliance posture across all payer types
We do our best to connect with applicants within 24 hours, including weekends and most holidays. Our team will be reaching out by phone, and email, so please keep an eye out.
Benefits:
401(k) matching
Dental insurance
Employee discount
Health insurance
Life insurance
Paid time off
Vision insurance
Work Location: In person