BILLING MANAGER FOR HOME HEALTH

Brockton Home Health Care Agency LLC; Brockton (MA); On-site; USD 70,000 - 90,000; Full time

Job summary

Brockton Home Health Care Agency in Brockton, MA is seeking an experienced Billing Manager to oversee day-to-day billing and claims for Medicare, MassHealth, managed care, and other payers. You will research denials, correct errors, and ensure timely, accurate billing with follow-up on unpaid or denied claims.

The role reports to the Administrator and requires strong attention to detail in a full-time on-site capacity.

Responsibilities

• Claims Preparation & Submission: Prepare and submit claims accurately within payer deadlines.
• Review claims before submission for completeness and accuracy.
• Verify patient demographics, insurance, dates of service, authorization, units, service codes, modifiers, and other billing information.
• Submit electronic and manual claims as required by payers.
• Ensure claims are accepted by payer or clearinghouse after submission.
• Correct rejected claims promptly and resubmit them.
• Maintain documentation of claim submission and correction activity.
• Denial & Rejection Management: Take ownership of denied and rejected claims from identification through resolution.
• Responsibilities include addressing denials and pursuing appeals where appropriate.

Job description

BROCKTON HOME HEALTH CARE AGENCY

BILLING MANAGER

Department: Administration
Position: Billing Manager
Employment Status: Full-Time
Reports To: Administrator
Location: Brockton, Massachusetts

POSITION SUMMARY

Brockton Home Health Care Agency is seeking an experiencedand detail-oriented Billing Manager to manage the agency’s day-to-daybilling and claims activities.

The Billing Manager is responsible for preparing, reviewing,and submitting accurate claims to Medicare, MassHealth/Medicaid, managed careorganizations, and other contracted payers. This position will also researchrejected and denied claims, correct billing errors, submit corrected claims andappeals when appropriate, monitor outstanding accounts receivable, and followclaims through final resolution.

The primary goal of this position is to ensure that allproperly authorized and documented services are billed accurately and on time,and that every unpaid, rejected, or denied claim receives appropriatefollow-up.

ESSENTIAL RESPONSIBILITIES

1. Claims Preparation & Submission

• Prepareand submit claims accurately and within required payer deadlines.
• Reviewclaims before submission for completeness and accuracy.
• Verifypatient/member demographics, insurance information, dates of service,authorization, units, service codes, modifiers, and other required billinginformation.
• Submitelectronic and manual claims as required by individual payers.
• Ensureclaims are accepted by the payer or clearinghouse after submission.
• Correctrejected claims promptly and resubmit them.
• Preventduplicate or inappropriate billing.
• Maintaindocumentation of claim submission and correction activity.

2. Denial & Rejection Management

The Billing Manager will take ownership of denied andrejected claims from identification through resolution.

Responsibilities include: