Revenue Cycle Coordinator: Billing & Authorization Oversight

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 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