Director, Billing and Revenue Cycle Management

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🔥 0 minutes ago

🏈 Alabama, Colorado, +23 more states – Remote

🏈 Alabama – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌪️ Kansas – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🔴 Lead

📊 Billing Specialist

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PALCO

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2010

🤝 B2B

📣 Marketing

B2B • Marketing

PALCO is a marketing agency specializing in both digital and offline marketing. Their expertise lies in developing market strategies and enhancing business potential, helping companies grow. They offer a comprehensive range of services typical of a marketing department, an advertising agency, and a video production company.

📋 Description

• Lead and manage a billing team of 10–15 people in the home care space • Oversee preparation and submission of Medicaid and Managed Care claims • Address claim denials, rejections, underpayments, and overpayments; resubmit claims as needed • Develop and implement training programs for billing staff • Collaborate with payroll, client-facing teams, MCOs, and other cross-functional teams • Interface with IT to troubleshoot system issues and develop technical billing solutions • Monitor billing performance and collections targets • Reconcile billing accounts to the general ledger and align billing records with financial statements • Document and formalize billing procedures for efficiency, accuracy, and compliance • Analyze billing data and provide actionable insights using Excel • Ensure compliance with state and federal regulations, including HIPAA • Lead staff development and foster a high-performance culture focused on accuracy, customer service, and team growth

🎯 Requirements

• At least 3 years of experience in revenue cycle management • 5+ years of experience in Medicaid billing and Managed Care programs, particularly in the home care space ideal • Proven experience managing a team of 10–15 billing staff • Advanced Excel skills, including VLOOKUPs, pivot tables, and other formulas • In-depth knowledge of Medicaid portals and EDI claims systems, including 837, 835, 276, 277, 834, 270, 271, and 999 files • Strong experience with reconciliation processes • Understanding of billing, payments, and general ledger alignment • Ability to collaborate across payroll, client-facing, and IT departments • Critical thinking and problem-solving skills for billing discrepancies and system issues • Training and development abilities • Experience documenting and formalizing procedures • Ability to work independently and manage a team remotely • NetSuite or similar accounting software experience is a plus • Knowledge of state and federal regulations, including HIPAA

🏖️ Benefits

• Generous Paid time off • Annual bonus potential • Retirement savings support • Career growth opportunities • Paid training • Internal and external learning opportunities • Great work environment • Employer shared health insurance cost • Employer paid disability insurance • Employer paid life and AD&D insurance • Vision insurance • Cancer insurance • Voluntary life insurance • Remote work environment • Paid holidays • Work/life balance