Total Care Connections Inc.
Accounts Receivable & Billing Manager
Location: Tempe, AZ – 2050 S Cottonwood Dr
Schedule: Monday–Friday, On-Site
Department: Finance / Revenue Cycle
Reports To: Director of Finance / CFO
About Total Care Connections Total Care Connections is a leading home care and home health provider serving Arizona and Colorado. Our mission is to deliver compassionate, high-quality care to seniors and adults with disabilities in their homes. We are committed to professional excellence, thoughtful innovation, and operational integrity, and we are recognized for sustained growth and service impact.
Position Summary We are seeking an experienced Accounts Receivable & Billing Manager to lead and manage the billing and revenue cycle operations at our Tempe office. The ideal candidate will have deep expertise in medical billing practices, payer follow‑up, crediting and posting payments, credentialing, and accounts receivable management. This role requires hands‑on leadership with familiarity across home care billing systems, EVV platforms, clearinghouses, and payer requirements.
Core Responsibilities Revenue Cycle and Billing Operations
Oversee and manage the full billing process including charge entry, claim submission, payment posting, reconciliation, and accounts receivable follow‑up.
Ensure accurate and timely billing to AHCCCS, UnitedHealthcare, Medicare/Medicaid, and other third‑party payors using systems such as Waystar, WellSky Personal Care, and Sandata.
Review claims and documentation to ensure compliance with payer and regulatory requirements.
Accounts Receivable and Cash Management
Monitor accounts receivable performance, aging reports, and implement timely follow‑up strategies to reduce days in AR.
Perform daily check deposits, accurate payment posting, and reconciliation of remittances.
Initiate and manage collection outreach to payors for unpaid, underpaid, or denied claims.
Payer Relations and Credentialing
Serve as the primary contact with insurance payors to resolve payment issues, adjudicate denials, and secure timely reimbursement.
Manage or coordinate payer credentialing and re‑credentialing activities to maintain active billing status with key networks.
Denial Management and Quality Assurance
Analyze and address denials and underpayments, including resubmissions, appeals, and payer communication.
Audit billing processes and identify opportunities for workflow improvement and error reduction.
Team Leadership and Collaboration
Train, coach, and oversee billing and AR staff; support process improvements and performance expectations.
Collaborate with clinical and administrative teams to ensure accurate documentation and billing integrity.
Reporting and Compliance
Prepare regular reports on billing status, receivables, denials, cash collections, and operational performance.
Ensure compliance with HIPAA, billing regulations, and internal policies.
Qualifications Required
Minimum of three years of progressive experience in medical billing, accounts receivable, and revenue cycle management, preferably in home care, home health, or a related healthcare setting.
Familiarity with AHCCCS billing requirements and commercial payor rules (e.g., UnitedHealthcare).
Proficiency with billing systems including Waystar, WellSky Personal Care, and Sandata EVV platforms.
Strong payer communication skills with demonstrated experience resolving complex billing issues.
Solid skills in payment posting, reconciliation, and reporting tools.
Excellent organizational, analytical, and problem‑solving abilities.
Ability to work independently and lead a team in a fast‑paced environment.
Preferred
Experience managing credentialing and payer enrollment processes.
Familiarity with home care documentation and compliance standards.
Prior leadership or supervisory experience.
Why Join Total Care Connections
Be part of a mission‑driven organization focused on servant leadership and exceptional care.
Lead important finance and revenue cycle functions for a top‑ranked home care provider.
Work onsite with a collaborative and supportive team environment.
Opportunity for growth and leadership development.
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Schedule: Monday–Friday, On-Site
Department: Finance / Revenue Cycle
Reports To: Director of Finance / CFO
About Total Care Connections Total Care Connections is a leading home care and home health provider serving Arizona and Colorado. Our mission is to deliver compassionate, high-quality care to seniors and adults with disabilities in their homes. We are committed to professional excellence, thoughtful innovation, and operational integrity, and we are recognized for sustained growth and service impact.
Position Summary We are seeking an experienced Accounts Receivable & Billing Manager to lead and manage the billing and revenue cycle operations at our Tempe office. The ideal candidate will have deep expertise in medical billing practices, payer follow‑up, crediting and posting payments, credentialing, and accounts receivable management. This role requires hands‑on leadership with familiarity across home care billing systems, EVV platforms, clearinghouses, and payer requirements.
Core Responsibilities Revenue Cycle and Billing Operations
Oversee and manage the full billing process including charge entry, claim submission, payment posting, reconciliation, and accounts receivable follow‑up.
Ensure accurate and timely billing to AHCCCS, UnitedHealthcare, Medicare/Medicaid, and other third‑party payors using systems such as Waystar, WellSky Personal Care, and Sandata.
Review claims and documentation to ensure compliance with payer and regulatory requirements.
Accounts Receivable and Cash Management
Monitor accounts receivable performance, aging reports, and implement timely follow‑up strategies to reduce days in AR.
Perform daily check deposits, accurate payment posting, and reconciliation of remittances.
Initiate and manage collection outreach to payors for unpaid, underpaid, or denied claims.
Payer Relations and Credentialing
Serve as the primary contact with insurance payors to resolve payment issues, adjudicate denials, and secure timely reimbursement.
Manage or coordinate payer credentialing and re‑credentialing activities to maintain active billing status with key networks.
Denial Management and Quality Assurance
Analyze and address denials and underpayments, including resubmissions, appeals, and payer communication.
Audit billing processes and identify opportunities for workflow improvement and error reduction.
Team Leadership and Collaboration
Train, coach, and oversee billing and AR staff; support process improvements and performance expectations.
Collaborate with clinical and administrative teams to ensure accurate documentation and billing integrity.
Reporting and Compliance
Prepare regular reports on billing status, receivables, denials, cash collections, and operational performance.
Ensure compliance with HIPAA, billing regulations, and internal policies.
Qualifications Required
Minimum of three years of progressive experience in medical billing, accounts receivable, and revenue cycle management, preferably in home care, home health, or a related healthcare setting.
Familiarity with AHCCCS billing requirements and commercial payor rules (e.g., UnitedHealthcare).
Proficiency with billing systems including Waystar, WellSky Personal Care, and Sandata EVV platforms.
Strong payer communication skills with demonstrated experience resolving complex billing issues.
Solid skills in payment posting, reconciliation, and reporting tools.
Excellent organizational, analytical, and problem‑solving abilities.
Ability to work independently and lead a team in a fast‑paced environment.
Preferred
Experience managing credentialing and payer enrollment processes.
Familiarity with home care documentation and compliance standards.
Prior leadership or supervisory experience.
Why Join Total Care Connections
Be part of a mission‑driven organization focused on servant leadership and exceptional care.
Lead important finance and revenue cycle functions for a top‑ranked home care provider.
Work onsite with a collaborative and supportive team environment.
Opportunity for growth and leadership development.
#J-18808-Ljbffr