Job Details

Job description:

Position Overview

The Payroll Billing & Accounts Receivable 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 live and 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

*We are currently prioritizing local candidates only to ensure we can fill this position promptly.

Benefits:

• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person