Payroll Billing & AR Compliance Manager

Job Description

Salary: $85,000 - $94,000

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.

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

Bachelors 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 (030, 3160, 6190, 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

*Please note that we 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.

Full-time