Billing & Revenue Cycle Coordinator

Brockton HHA; Brockton (MA); Hybrid; USD 54,000 - 66,000; Full time

Job summary

Brockton Home Health Care Agency is seeking a Billing & Revenue Cycle Coordinator to oversee billing, authorizations, and accounts receivable. This role coordinates with the external billing company to ensure accurate, timely submissions and proactive problem resolution with clinical staff.

Responsibilities include weekly billing oversight, PA tracking, and reconciliation of payments, with an emphasis on reducing denials and aging receivables.

Qualifications

• Experience with home health, healthcare billing, revenue cycle, claims, or accounts receivable is preferred.
• Knowledge of Medicare, Medicaid/MassHealth, managed care, and commercial insurance billing processes.
• Familiarity with Prior Authorizations and payer requirements.
• Understanding of claim denials, remittance information, timely filing, and A/R aging.
• Strong attention to detail and organizational skills.
• Ability to review reports and identify discrepancies.
• Strong communication and follow-up skills.
• Ability to work with clinical, administrative, and external billing teams.

Responsibilities

• Oversee weekly billing activity and ensure services are billed.
• Verify scheduled vs completed services for billing readiness.
• Monitor authorizations to ensure alignment with billing.
• Coordinate with clinical staff to resolve documentation gaps.
• Maintain timely filing and accuracy across claims.
• Track aging A/R and escalation of issues to management.
• Support payment reconciliation and follow-up with the billing company.

Skills

Home health billing

Revenue cycle

Claims

Accounts receivable

Medicare knowledge

MassHealth knowledge

Payer requirements

Prior Authorizations

Timely filing

A/R aging

Spreadsheets

EHR

Billing platforms

Payer portals

Job description

BROCKTON HOME HEALTH CARE AGENCY

Billing & Revenue Cycle Coordinator

Department: Administration / Finance
Reports To: Administrator
Employment Status: Full-Time
Position Type: Administrative / Revenue Cycle Management

POSITION SUMMARY

Brockton Home Health Care Agency is establishing theposition of Billing & Revenue Cycle Coordinator to strengthenoversight of the agency’s billing, claims, authorizations, and accountsreceivable processes.

The Billing & Revenue Cycle Coordinator will serve as the primary liaison between Brockton Home Health Care Agency’s clinicaldepartment and the agency’s external billing company.

The primary purpose of this position is to ensure and manage that services provided by the agency are properly authorized, documented,billed accurately, submitted timely, and followed through to payment.

This position is not intended to process billing. Thecoordinator will provide a level of internal oversight and accountability tohelp identify billing errors, authorization issues, documentation problems,missed claims, denials, and outstanding receivables before they negativelyaffect the agency.

KEY RESPONSIBILITIES

1. Weekly Billing Oversight

Review the agency’s weekly billing activity and verify thateligible services have been submitted for billing.

Compare scheduled and completed services against claimsbeing prepared or submitted by the billing company.

Identify services that were provided but have not yet beenbilled and determine the reason for the delay.

Review billing for accuracy, including patient/memberinformation, payer, authorization, service dates, units, and applicable billingcodes.

Maintain a weekly billing reconciliation process somanagement can clearly identify:

• Servicesprovided
• Claimssubmitted
• Claimspending
• Claimsheld
• Claimsdenied or rejected
• Paymentsreceived
• Outstandingaccounts receivable

2. Prior Authorization (PA) Oversight

Review active Prior Authorizations to ensure services beingprovided and billed are within the approved authorization period, service type,frequency, and units.

Track PA effective dates and expiration dates andcommunicate upcoming expirations to the appropriate clinical or administrativestaff.

Identify services that may be at risk of nonpayment becauseof expired, missing, incorrect, or insufficient authorizations.

Work with the Clinical Manager and appropriate staff toresolve discrepancies before claims are submitted whenever possible.

3. Billing Company Liaison

Serve as the agency’s primary internal contact with theexternal billing company.

Participate in a weekly billing and accounts receivablemeeting with the billing company.

Prepare issues requiring discussion before each meeting andmaintain a follow-up list of unresolved items.

Request clarification and supporting information regardingrejected, denied, unpaid, or delayed claims.

Hold the billing company accountable for timely claimsubmission, correction, resubmission, and follow-up.

Escalate significant or recurring billing concerns to agencymanagement.

4. Clinical Department Coordination

Work closely with the Clinical Manager and clinical team tomake sure documentation required for billing is complete and submitted timely.

Identify claims that cannot be billed because of missing,incomplete, unsigned, or late clinical documentation.

Communicate documentation deficiencies to theappropriatedepartment and track them until resolved.

Help ensure that the services documented in the clinicalrecord support the services being billed.

5. Claims Accuracy & Timely Filing

Monitor claims to make sure they are submitted within payertimely-filing requirements.

Review rejected and denied claims to identify the cause andcoordinate corrective action.

Track corrected claims, resubmissions, appeals, and otherfollow-up activities when applicable.

Identify recurring billing errors and recommend processimprovements to prevent them from happening again.

Maintain a system for identifying claims approaching filingdeadlines so corrective action can be taken before revenue is lost.

6. Accounts Receivable (A/R) Oversight

Monitor the agency’s accounts receivable and outstandingclaims.

Review A/R aging reports regularly, including claimsoutstanding for:

0–30 days | 31–60 days | 61–90 days | 90+ days

Investigate significant or aging balances and determine the reason payment has not been received.

Work with the billing company to ensure appropriatefollow-up is being completed.

Immediately escape high-dollar claims, unusual paymentdelays, repeated denials, or significant payer issues to management.

7. Payment Reconciliation

Assist in verifying that payments received correspond withsubmitted claims.

Review payer remittance information when necessary toidentify underpayments, denials, recoupments, adjustments, or otherdiscrepancies.

Report significant payment discrepancies to management andthe billing company for investigation.

PERFORMANCE EXPECTATIONS

Success in this position will be measured by thecoordinator’s ability to:

• Improvebilling accuracy
• Reducepreventable claim denials and rejections
• Reduceunbilled services
• Identifyauthorization problems before billing
• Improvetimely claim submission
• Reduceaging accounts receivable
• Improvecommunication between clinical staff and the billing company
• Identifymissing documentation affecting reimbursement
• Providemanagement with accurate weekly revenue-cycle information
• Followoutstanding claims through resolution

QUALIFICATIONS

Preferred qualifications include:

• Experiencewith home health, healthcare billing, revenue cycle, claims, or accountsreceivable
• Knowledgeof Medicare, Medicaid/MassHealth, managed care, and commercial insurancebilling processes
• Familiaritywith Prior Authorizations and payer requirements
• Understandingof claim denials, remittance information, timely filing, and A/R aging
• Strongattention to detail and organizational skills
• Abilityto review reports and identify discrepancies
• Strongcommunication and follow-up skills
• Abilityto work effectively with clinical, administrative, and external billingteams
• Abilityto handle confidential patient and financial information appropriately
• Proficiencywith spreadsheets, electronic health records, billing platforms, and payerportals

Compensation: This is afull-time, salaried position with an annual salary of $60,000, paid inaccordance with Brockton Home Health Care Agency’s regular payroll schedule.