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About the Role

This role will initially function as a hands-on Revenue Cycle Management (RCM) Lead responsible for establishing billing operations for a newly launched Georgia and New Jersey market. The successful candidate will build processes, conduct payer and regulatory research, create SOPs, and lay the foundation for a scalable RCM department. As the market grows, this role will evolve into a formal people leadership position overseeing billing specialists and offshore team members.

Responsibilities

Lead the establishment of revenue cycle operations for a newly launched market, including researching payer requirements, workflows, billing processes, and reimbursement guidelines.
Develop, document, and implement SOPs, workflows, and operational best practices to support future team growth.
Research and interpret Georgia and New Jersey Medicaid billing requirements and identify operational requirements necessary to support compliance and reimbursement.
Partner with leadership to define team structure, operational processes, performance metrics, and future KPIs as the department scales.
Identify process gaps and recommend solutions to improve operational efficiency and future revenue cycle performance.
Initially operate as an individual contributor while building the foundation of the department.
Transition into a people leadership role as the Georgia and New Jersey markets expand, including hiring, training, coaching, and managing billing team members.
Provide mentorship, onboarding support, and performance coaching to future team members.
Oversee the preparation, submission, and follow-up of insurance claims for home health care services.
Ensure accurate coding (CPT, HCPCS, ICD-10) and adherence to payer-specific guidelines.
Monitor and resolve claim rejections, denials, and underpayments promptly.
Manage accounts receivable to minimize outstanding balances and maximize collections.
Ensure billing practices comply with federal, state, and payer-specific regulations, including Medicare and Medicaid guidelines.
Maintain up-to-date knowledge of changes in billing rules and home health care regulations.
Review documentation for accuracy and completeness to support submitted claims.
Analyze billing processes and implement strategies to improve efficiency and reduce errors.
Collaborate with other departments to address issues impacting the revenue cycle, such as intake and documentation workflows.

Requirements

Proven expertise in home health care billing, including Medicare and Medicaid processes.
Experience building, implementing, or improving billing processes and operational workflows is strongly preferred.
Georgia and New Jersey Medicaid billing experience is a significant advantage.
Candidates with Home Health, Hospice, or Skilled Nursing billing experience will be considered.

Skills

Excellent organizational, analytical, and problem-solving abilities.
Exceptional communication and interpersonal skills to lead a team and collaborate across departments.
Strong research and investigative skills with the ability to gather information independently in a newly established market.
Demonstrated accountability, including ownership of mistakes, problem resolution, and continuous improvement.
Strong conflict resolution, coaching, and delegation skills.
Ability to build processes and operate effectively in an ambiguous, startup-like environment.
Intermediate Microsoft Excel proficiency preferred.

Work Type

Full-time

Experience Level

Minimum 3-5 years of experience in medical billing
At least 1-2 years in a supervisory or leadership role

Education Level

High school diploma or equivalent required
Associate’s or Bachelor’s degree in a related field preferred
Certified Professional Biller (CPB) or equivalent preferred

Benefits

Competitive compensation packages that reflect the value you bring.
Annual company performance bonus for full-time employees.
Comprehensive health coverage: medical, dental, and vision options.
$0 deductible PPO option.
Company-funded HSA.
Employer-paid life and disability insurance.
Generous paid time off.
10 paid company holidays.
HSA contributions.
Optional FSA and commuter benefits.
Full coverage of all 401(k) account fees.
Paid parental leave.

About the Company

Powering the future of care at home for all of America.
Building the leading AI-native platform for family-led care.
Believes families are the largest untapped caregiving workforce in America.
Technology helps families deliver better care, driving stronger outcomes and greater transparency.
Combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers.
Platform helps health plans and government partners understand, verify, and improve care in the home.
Expands access to care, reduces reliance on higher-cost settings, and ensures public dollars are spent effectively.
Partners with leading health plans, providers, and community organizations.
Backed by top VCs.
Envisions a future where family-led care is a core part of the healthcare system.

Equal Opportunity

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws.
Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.