Job Details

Position Overview

The Payroll Billing & Accounts Receivable Compliance Manager oversees the integrity, accuracy, and compliance of payroll-driven billing and receivables processes. In a home care setting, this role ensures caregiver hours flow cleanly from payroll into billing; claims meet payer requirements, and collections are timely and audit-ready. The position emphasizes oversight, controls, and continuous improvement rather than day-to-day transaction processing.

Candidates must be available for on-site work at our Santa Barbara office, Monday–Friday, 8:30am–5:00pm

Key Responsibilities:

Oversight & Governance

• Own policies, controls, and standard operating procedures across payroll billing and AR
• Monitor end-to-end flow from time capture ? payroll ? billing ? collections
• Establish KPIs, dashboards, and regular performance reviews

Billing Compliance

• Ensure claims and invoices meet Medicaid, Medicare (if applicable), VA, and private-pay requirements
• Validate authorization, eligibility, EVV (Electronic Visit Verification), and rate accuracy prior to billing
• Maintain audit trails and documentation standards

Accounts Receivable Oversight

• Oversee aging, collections strategy, and cash application accuracy
• Identify trends in denials, underpayments, and write-offs; drive corrective actions
• Set targets for DSO, aging buckets, and recovery rates

Payroll-Billing Reconciliation

• Ensure field staff hours, pay codes, and rates reconcile to billed units and payer rules
• Investigate discrepancies between payroll, scheduling/EVV, and billing systems
• Partner with Payroll and Operations to resolve root causes
• Manage and process company bills and payments in a timely manner

Compliance & Risk Management

• Lead internal audits and support external audits
• Stay current on state/federal home care regulations and payer bulletins
• Implement controls to prevent fraud, waste, and abuse

Systems & Process Improvement

• Optimize workflows across scheduling/EVV, payroll, and billing platforms
• Collaborate with IT and vendors on system enhancements and integrations
• Drive automation to reduce errors and cycle times using Monday.com

Cross-Functional Leadership

• Partner with Operations, Clinical, Payroll, and Intake/Authorizations
• Train teams on documentation, coding, and billing requirements
• Serve as escalation point for complex payer issues

Qualifications

• Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field (or equivalent experience)
• 5+ years in billing, revenue cycle, or AR; 2+ years in an oversight or leadership role
• Experience in home care, home health, or healthcare services strongly preferred
• Deep understanding of Medicaid waiver programs, EVV, authorizations, and payer billing rules
• Proven experience with AR management, aging, denials, and collections strategies
• Familiarity with payroll-to-billing reconciliation in time-based services
• Strong analytical skills; advanced Excel or reporting tools experience
• Experience with Monday.com

Key Metrics (KPIs)

• Days Sales Outstanding (DSO)
• AR aging (0–30, 31–60, 61–90, 90+)
• Clean claim rate / first-pass acceptance
• Denial rate and overturn rate
• Payroll-to-billing variance rate
• Cash collections vs. targets

What Success Looks Like

• Clean, audit-ready billing with minimal rework
• Reduced denials and faster reimbursement cycles
• Tight alignment between payroll, EVV, and billed units
• Clear visibility into AR performance and risks
• Strong compliance posture across all payer types

*Candidates must be available for on-site work at our Santa Barbara office, Monday–Friday, 8:30am–5:00pm.

*Please note that w

e do our best to connect with applicants within 24 hours, including weekends and most holidays. Our team will be reaching out by phone, and email, please check your inbox and voice messages.