Home Health Office Manager (BOM)

Sweetwater Care; Phoenix (AZ); On-site; USD 55,000 - 75,000; Full time

Job summary

Sweetwater Care is seeking a Business Office Manager to handle payroll, billing, and accounts receivable/payable in a home health setting. The role requires strong organization, attention to detail, and extensive experience with Medicare billing and CMS rules.

You will verify insurance eligibility, manage refunds and denials, and ensure timely reporting while maintaining HIPAA compliance. Excellent communication and MS Office proficiency are essential for success in this position.

Qualifications

• 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 understanding of CPT, ICD-10 and DRG coding regulations and guidelines.
• Familiarity with HIPAA and confidentiality requirements.

Responsibilities

• Process Payroll for staff and manage accounts payable/receivable with timely invoicing.
• Submit reports and prepare presentations as needed for leadership.
• Billing all insurances within filing guidelines and follow-up on claim status and rejections.
• Verify patient insurance eligibility and obtain preauthorization where required.
• Transfer OASIS data to the state accurately and timely.
• Maintain accurate billing reports and ensure claims integrity.

Skills

Organization

Detail-oriented

Excel proficient

Analytical skills

Communication skills

MS Office

Billing experience

Medicare Part A

HIPAA knowledge

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.