Billing Director Homecare

Job description

Director of Billing (IN HOUSE POSITION)

Certified Home Health Agency (CHHA) – New York State

Position Summary

The Director of Billing is responsible for the overall management, accuracy, compliance, and performance of the CHHA billing and revenue cycle functions . This role ensures timely and accurate billing, reimbursement optimization, regulatory compliance with NYSDOH and CMS requirements, and effective coordination with intake, clinical, authorization, and finance departments.

The Director of Billing plays a critical role in maintaining agency financial stability while supporting compliant patient care delivery.

Reporting Relationship

Reports directly to the Chief Financial Officer (CFO) , Administrator , or Executive Director , as designated.

Supervisory Responsibilities

Directly supervises billing staff, medical records staff, and authorization personnel (as applicable)

Oversees training, performance management, and workflow efficiency within the billing department

Essential Duties and Responsibilities

Billing & Revenue Cycle Oversight

Oversees all billing functions for CHHA services, including Medicare, Medicaid, Managed Care, Medicare Advantage, and commercial payers

Ensures accurate and timely submission of claims in compliance with NYSDOH, CMS, and payer-specific requirements

Monitors billing timeliness, denial rates, payment variances, and aging accounts receivable

Works collaboratively with finance to reconcile revenue, cash posting, and payer remittances

Regulatory & Compliance Responsibilities

Ensures compliance with:NYSDOH CHHA regulations

CMS Medicare Conditions of Participation

Medicaid billing and managed care requirements

Maintains readiness for NYSDOH and CMS audits and surveys

Ensures billing practices align with:OASIS completion

Physician orders

Plan of Care certification and recertification

Visit documentation standards

Participates in corrective action plans related to billing, documentation, or compliance findings

Interdepartmental Coordination

Works closely with:Intake and Authorization teams to ensure services are authorized and billable

Clinical leadership to resolve documentation or order deficiencies

Quality Assurance to address audit findings and improve compliance

Identifies system or process gaps that impact billing accuracy or timeliness and implements solutions

Data, Reporting & Performance Monitoring

Develops and reviews billing and revenue reports, including:Denials and rejections

Authorization issues

Days in A/R

Missed or delayed billing opportunities

Provides regular performance reports to executive leadership

Uses data to identify trends, risks, and opportunities for improvement

Staff Leadership & Development

Ensures billing staff are trained and competent in current billing rules and payer requirements

Establishes clear workflows, accountability, and productivity expectations

Supports ongoing education related to regulatory changes and payer updates

Qualifications

Education

Bachelor’s degree in healthcare administration, business, finance, or related field preferred

Equivalent experience in CHHA billing may be considered

Experience

Minimum 5 years of healthcare billing experience , with at least 3 years in home health (CHHA) billing

Demonstrated experience with:Medicare home health billing

Medicaid and Managed Care billing in NYS

CHHA documentation and regulatory requirements

Prior supervisory or management experience required

Knowledge & Skills

Strong working knowledge of:NYSDOH CHHA regulations

CMS Medicare billing requirements

OASIS and Plan of Care requirements

Proficiency with home health billing systems (e.g., HCHB or similar)

Excellent analytical, organizational, and problem‑solving skills

Strong communication and leadership abilities

Ability to work collaboratively across departments

Physical & Work Requirements

Primarily office-based with prolonged periods of computer use

Ability to attend meetings and audits as required

Performance Expectations

Accurate and timely billing

Reduced denial rates and improved cash flow

Audit readiness at all times

Effective collaboration with clinical, intake, and finance teams

Compliance with all NYSDOH and CMS requirements

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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.