Accounts Receivable & Billing Manager

About Total Care Connections

Total Care Connections provides home care and home health services throughout Arizona and Colorado. We are committed to compassionate care, servant leadership, and operational excellence. As our services and payer relationships expand, we are seeking an experienced billing professional to help ensure accurate billing, timely reimbursement, and effective revenue cycle operations.

Position Summary

This is a hands-on working manager position. You will personally perform daily billing and accounts receivable tasks while supervising and supporting a small team. Direct involvement in claim submission, payment posting, reconciliation, payer follow-up, denials, and collections is a central responsibility of this role.

The ideal candidate is comfortable owning the full revenue cycle process, maintaining an individual workload, and stepping into any billing or A/R function when needed. You should be able to investigate a claim, determine what is preventing payment, take corrective action, and follow it through to resolution while helping your team do the same.

We are looking for practical expertise with Waystar, a working understanding of Electronic Visit Verification (EVV) and AHCCCS billing requirements, and a strong foundation in medical claims billing. You must be able to learn the nuances of our services, payer contracts, and systems quickly.

Our payer mix includes Banner, UnitedHealthcare, Colorado Medicaid, TriWest, private pay, long-term care insurance, DDD, and PCOA, with additional payer relationships anticipated. Experience with every payer is not required, but strong medical billing fundamentals and resourceful problem-solving are essential.

Key Responsibilities

Hands-On Billing and Revenue Cycle Operations

• Personally prepare, review, submit, and correct claims using Waystar, billing systems, and payer portals.
• Review service codes, modifiers, units, rates, authorizations, and documentation for billing accuracy.
• Manage claims through payer adjudication by monitoring acceptance and status, addressing requests for information, and resolving processing or payment issues.
• Post payments from electronic remittances, checks, and other payment sources; apply adjustments accurately and reconcile payments to claims and deposits.
• Prepare and manage private-pay invoices, statements, and collection follow-up, along with long-term care insurance billing and documentation.
• Maintain an assigned billing and A/R workload and provide direct coverage across revenue cycle functions as needed.

Accounts Receivable, Denials, and Collections

• Actively work aging reports and follow up on unpaid, denied, rejected, and underpaid claims.
• Research discrepancies, submit corrected claims and appeals, and communicate directly with payers to obtain resolution.
• Verify reimbursement against contracted rates and pursue underpayments.
• Track timely filing and appeal deadlines to prevent avoidable revenue loss.
• Investigate unapplied payments, credit balances, and reconciliation discrepancies.
• Identify recurring problems and correct the underlying processes contributing to denials or delayed payment.

EVV, Authorizations, and Payer Requirements

• Work with scheduling, operations, and clinical teams to resolve EVV exceptions, missing documentation, eligibility issues, and authorization discrepancies affecting billing.
• Learn, apply, and document payer-specific requirements for existing and newly added services.
• Serve as a primary contact for complex payer billing issues and escalations.
• Coordinate payer enrollment, credentialing, and recredentialing activities as needed.

Small-Team Leadership and Reporting

• Supervise, train, and support a small billing and A/R team while working alongside them in daily operations.
• Assign workloads, establish priorities, review work quality, and ensure consistent follow-through on outstanding balances.
• Maintain written procedures and cross-train staff to support reliable coverage.
• Report on cash collections, billing activity, aging, days in A/R, denials, and unresolved reimbursement issues.
• Collaborate with finance and operational leadership to improve billing accuracy and collections.
• Protect confidential information and follow HIPAA, payer requirements, and internal policies.

Required Qualifications

• At least three years of progressive experience in medical claims billing, accounts receivable, and revenue cycle management.
• Recent, direct experience performing payment posting, claim submission, adjudication follow-up, reconciliation, denial resolution, appeals, and collections.
• Hands-on proficiency with Waystar.
• Working knowledge of AHCCCS billing requirements and EVV, including their impact on reimbursement.
• Strong understanding of service codes, modifiers, authorizations, clearinghouse rejections, payer denials, and remittance information.
• Demonstrated ability to resolve complex billing issues and collect outstanding receivables.
• Strong Excel, reporting, organizational, and communication skills.
• Ability to independently research unfamiliar payer requirements and apply them accurately.
• Willingness and ability to perform daily production work while managing and developing a small team.
• Availability to work full-time, in person at our Tempe office.

Preferred Qualifications

• Experience in home care, home health, or a related healthcare setting.
• Familiarity with our payer mix and multiple reimbursement structures.
• Prior experience supervising or serving as a lead within a billing or A/R team.
• Experience with payer enrollment, credentialing, and home care or home health billing systems.

Why Join Total Care Connections?

• Contribute to a mission-driven organization that helps people receive care at home.
• Take ownership of a vital function with a direct impact on the company’s success.
• Work with a collaborative team that values initiative, accountability, and practical problem-solving.
• Grow professionally as our services and payer relationships expand.