Home Healthcare Claims Pre-Billing Audit Manager

Become a part of our caring community and help us put health first

The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the organization’s pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering measurable improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and reduce variation in billing practices.

The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the organization’s pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering measurable improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and reduce variation in billing practices.

• Establish and execute the vision for centralized pre-billing aligned with organizational revenue cycle strategy.
• Drive standardization of processes across markets, ensuring consistent application of billing readiness practices.
• Develop performance dashboards, KPIs and SLAs to measure team effectiveness and financial impact.

• Lead and mentor Pre-Bill Supervisors to ensure timely and accurate claim readiness across multiple regions.
• Monitor national unbilled metrics and implement action plans to sustain improvement.
• Oversee audit readiness for Medicare, Medicaid and commercial payers; ensure pre-billing activities meet compliance standards.
• Serve as the escalation point for complex payer issues, systemic process barriers or cross-functional challenges.

• Partner with Region and Area leadership, Finance, Compliance, and other corporate teams to align pre-billing strategy with enterprise goals.
• Collaborate with IT and HCHB support teams to optimize system workflows, reporting and automation opportunities.
• Provide updates to executive leadership on performance, risks and opportunities for scale.

• Build a high-performing centralized team through effective recruiting, onboarding, coaching and talent development.
• Foster a culture of accountability, continuous improvement and data-driven decision-making.
• Support professional growth and career pathing for Pre-Bill Supervisors and Specialists.

Use your skills to make an impact

• Bachelor’s degree in healthcare administration, business, or a related field; in lieu of a degree, a minimum of 8 years of home health experience, including at least 2 years in a leadership role.
• 2+ years of experience in a leadership role.
• 7+ years of experience in home health.
• Strong understanding of system workflows in Homecare Homebase (HCHB) preferred.
• Deep knowledge of Medicare and Medicaid billing requirements.
• Proven ability to lead large, distributed teams and manage to performance targets.
• Exceptional communication, relationship-building and change-management skills.
• Strong analytical and problem-solving abilities, with demonstrated success in using data to drive operational decisions.

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.