Billing & Revenue Cycle Coordinator

Brockton Home Health Care Agency LLC; Brockton (MA); On-site; USD 51,000 - 69,000; Full time

Job summary

Brockton Home Health Care Agency is seeking a Billing & Revenue Cycle Coordinator to strengthen oversight of billing, authorizations, and accounts receivable. This role serves as the primary liaison between the clinical department and the external billing company, ensuring services are authorized, documented, billed, and followed through to payment.

The coordinator provides internal oversight to identify billing errors, authorization issues, documentation problems, missed claims, denials, and

Qualifications

• Experience with home health, healthcare billing, revenue cycle management.
• Knowledge of Medicare, Medicaid/MassHealth, managed care, and commercial billing.
• 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 effectively with clinical, administrative, and external billing teams.
• Ability to handle confidential patient and financial information appropriately.
• Proficiency with spreadsheets, electronic health records, billing platforms, and payer portals.

Responsibilities

• Oversee weekly billing activity and verify eligible services for billing.
• Compare scheduled vs completed services against claims submitted by the billing company.
• Identify unbilled services and determine delays.
• Review billing accuracy: patient info, payer, authorization, service dates, units, codes.
• Maintain weekly billing reconciliation to show services, claims, payments, and AR aging.
• Oversee Prior Authorizations to ensure services are within approved periods and notify expirations.
• Liaise with the external billing company and participate in weekly billing meetings.
• Coordinate with Clinical Manager to resolve documentation discrepancies before submission.
• Ensure timely filing and monitor payer requirements for claims.
• Escalate significant issues to management as needed.
• Track aging accounts receivable and assist in follow-up actions.
• Identify recurring billing errors and suggest process improvements.

Skills

Home health billing

Revenue cycle

Prior authorizations

A/R aging

Attention to detail

Communication

Team collaboration

Tools

Billing platforms

Payer portals

Electronic health records

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 asthe 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 managethat 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 the appropriatedepartment 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 thereason 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.