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Home Healthcare Claims Pre-Billing Audit Manager

Remote / Online - Candidates ideally in
Little Rock, Pulaski County, Arkansas, 72208, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-02
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 86300 - 118700 USD Yearly USD 86300.00 118700.00 YEAR
Job Description & How to Apply Below

Become a part of our caring community and help us put health first

The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the organization’s pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering measurable improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and reduce variation in billing practices.

Strategic

Leadership
  • Establish and execute the vision for centralized pre-billing aligned with organizational revenue cycle strategy.

  • Drive standardization of processes across markets, ensuring consistent application of billing readiness practices.

  • Develop performance dashboards, KPIs and SLAs to measure team effectiveness and financial impact.

Operational Oversight
  • Lead and mentor Pre-Bill Supervisors to ensure timely and accurate claim readiness across multiple regions.

  • Monitor national unbilled metrics and implement action plans to sustain improvement.

  • Oversee audit readiness for Medicare, Medicaid and commercial payers; ensure pre-billing activities meet compliance standards.

  • Serve as the escalation point for complex payer issues, systemic process barriers or cross-functional challenges.

Collaboration & Partnership
  • Partner with Region and Area leadership, Finance, Compliance, and other corporate teams to align pre-billing strategy with enterprise goals.

  • Collaborate with IT and HCHB support teams to optimize system workflows, reporting and automation opportunities.

  • Provide updates to executive leadership on performance, risks and opportunities for scale.

People Leadership
  • Build a high-performing centralized team through effective recruiting, onboarding, coaching and talent development.

  • Foster a culture of accountability, continuous improvement and data-driven decision-making.

  • Support professional growth and career pathing for Pre-Bill Supervisors and Specialists.

Use your skills to make an impact

Required Skills:
  • Bachelor’s degree in healthcare administration, business, or a related field; in lieu of a degree, a minimum of 8 years of home health experience, including at least 2 years in a leadership role.

  • 2+ years of experience in a leadership role.

  • 7+ years of experience in home health.

  • Strong understanding of system workflows in Homecare Homebase (HCHB) preferred.

  • Deep knowledge of Medicare and Medicaid billing requirements.

  • Proven ability to lead large, distributed teams and manage to performance targets.

  • Exceptional communication, relationship-building and change-management skills.

  • Strong analytical and problem-solving abilities, with demonstrated success in using data to drive operational decisions.

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Center Well Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:
  • Health benefits effective day 1

  • Paid time off, holidays, and jury duty pay

  • Recognition pay

  • 401(k) retirement savings plan with employer match

  • Tuition assistance

  • Scholarships for eligible dependents

  • Caregiver leave

  • Employee charity matching program

  • Network Resource Groups (NRGs)

  • Career…

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