Home Health Office Manager (BOM)

Sweetwater Care; Dillon (MT); On-site; USD 55,000 - 75,000; Full time

Job summary

Sweetwater Care in Dillon, MT is seeking a proactive Business Office Manager to lead billing, payroll, accounts payable/receivable, and reporting for a new home health agency. The role combines administrative leadership with strict financial controls to ensure timely payments and compliance.

You will oversee insurance billing, preauthorizations, and CMS regulations, leveraging Excel and standard office software. A detail-oriented, technically skilled communicator will thrive in this environment.

Qualifications

• Excellent organization and attention to detail required.
• Database and Excel spreadsheet management experience.
• Strong quantitative (math) and analytical skills.
• Familiarity with Microsoft Office Suite and related software.
• Thorough knowledge of Medicare Home Health billing/CMS regulations.
• Understanding CPT, ICD-10, and DRG coding guidelines.

Responsibilities

• Process Payroll for staff.
• Accounts Payable (vendor invoices).
• Accounts Receivable (billing, follow-up, collections).
• Submit reports and prepare presentations as needed.
• Billing all insurances and follow-up on claim status and rejections.
• Verify patient insurance eligibility and preauthorization requirements.
• Manage billing reports to ensure accuracy and timeliness.
• Transfer OASIS data to the State timely and accurately.
• Maintain HIPAA confidentiality.
• Other related tasks as assigned.

Skills

Organization

Attention to detail

Billing management

MS Office

Analytical skills

Written communication

Verbal communication

Billing software

Medicare/CMS rules

Coding basics

Medical terminology

Electronic billing

Tools

Excel

Microsoft Office

Job description

We are in search of a Business Office Manager for a new home health agency. They are excited to bring vital nursing care and therapies to the individuals and families that need it most, so if you are looking to make a difference using your skills and abilities

Duties/Responsibilities:

• Process Payroll for staff
• Accounts Payable (process vendor invoices for payment)
• Accounts Receivable (billing, follow-up, collections)
• Establishes, maintains, processes, and/or updates files, records, and/or other documents
• Submit reports and prepare presentations as needed
• Billing all insurances within timely filing guidelines, as well as follow-up on all claim in S/T status and those rejections by Medicare / Medicaid to ensure proper payment.

• Able to obtain preauthorization from HMO and commercial insurance. Verify patients Medicare and other insurance home health illegibility and responsibility.
• Able to bill secondary insurances
• Manages billing reports to assure that all billing is captured accurately and timely.
• Transfers OASIS data to the State timely and accurately.
• Keeps Administrator apprised of problems/concerns/delays within billing department.
• Assures Claims Integrity for the agency.

• Compile and aggregate large amounts of home care visit data in a timely manner
• Check claim statuses and verify payments for visits in online portals
• Compare billed visits with paid visits and find discrepancies in payments
• Investigate and rebill for unpaid visits
• Communicate with insurance company representatives by phone/email to resolve billing issues
• Obtains proper documentation for appeal process and submission
• Maintain confidentiality per HIPAA regulations at all times
• Other related tasks as assigned

Required Knowledge, Skills, and Experience:

• Excellent organization
• Excellent attention to detail
• Database and excel spreadsheet management
• Strong quantitative (math) and analytical skills
• Strong verbal, written, and interpersonal skills
• Familiarity with Microsoft Office Suite and related software
• Minimum of two (2) years experience in billing or billing management of a home health care company billing Medicare Part A and working with DDE.
• Strong computer skills
• Thorough and working knowledge of Medicare Home Health billing/CMS regulations and requirements
• Demonstrates an understanding of CPT, ICD-10, and DRG coding regulations and guidelines.
• Understands basic medical terminology.
• Able to use electronic or paper billing.

FullShift Staffing provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.