Billing & Collections Lead

JoinSynergy’sdynamic revenue cycle team as theBilling and Collections Lead! We areseekingan experienced, detail-oriented, and results-driven leader to oversee both billing andcollectionsoperations for our home health and hospice services. This role is critical toensuringaccurate,timely, and compliant reimbursement while driving down outstanding accounts receivable to support our agency’s mission and patient care.

About the Role

The Billing and Collections Leadis responsible forthe daily leadership of the teams managing all billing and post-billing collections functions. This hands-on leadership role requires expert knowledge of Medicare, Medicaid, and commercial payer regulations, strong denial and appealsexpertise, and a strategic approach to accounts receivable management. The ideal candidate will balance precision in billing with assertiveness in collections tooptimizecash flow and minimize denials andbad debt.

Key Responsibilities

Team Leadership and Management:
Lead, train, and mentor the billing and collections teams,settingperformance goals, distributing workload, defining daily workflow, and providing coaching to ensure accuracy, productivity, and compliance across all functions.

Claim Submission and Billing Oversight:
Oversee the preparation, review, and compliant electronic submission of all claims (e.g., RAPs/NOEs, final claims, adjustments) to Medicare, Medicaid, and commercial payers, ensuringtimelyandaccuratebilling.

Accounts Receivable (AR) Management:
Direct end-to-end AR management, including payment posting, reconciliation, aging review, and follow-up activities, with a focus on reducing DSO and prioritizing the oldest and highest-dollar accounts.

Denial, Rejection, and Appeal Management:
Implement and oversee processes forthe promptresearch, correction, resubmission, and appeal of denied or rejected claims. Ensure all appeals are supported with complete andaccuratedocumentation and address root causes to improve first-pass acceptance rates.

Collections Strategy and Execution:
Develop and execute strategic plans for collecting outstanding balances from Medicare, Medicaid, commercial payers, and self-pay patients, using a compliant,streamlined, and results-oriented approach.

Payer and Patient Communication:
Serve as the primary escalation point for complex payer issues, negotiating resolution of systemic payment discrepancies. Oversee patient financial counseling and self-pay collections, ensuring all communication is professional, empathetic, and compliant with FDCPA guidelines.

Compliance and Audit Readiness:
Ensure all billing andcollectionspractices adhere strictly to CMS, state Medicaid, and commercial payer requirements,maintainingreadiness for internal and external audits.

Reporting and Analysis:
Track, analyze, and report on key revenue cycle metrics, including denial rates, collection effectiveness, AR aging, and payer trends. Use data insights toidentifyopportunities for process improvement and upstream collaboration.

Interdepartmental Collaboration:
Work closely with Intake, Authorization, and Clinical Documentation teams to resolve eligibility, authorization, or documentation issues that impact billing andcollectionsoutcomes.

Qualifications

Required:

• Minimum of 3 years of experience inhealthcare billing and/or collections, withHome Health or Hospice experience strongly preferred.

• Minimum of 1 year of leadership or supervisory experience managing billing, collections, oraccountsreceivable teams.

• Deep understanding ofMedicare and Medicaid billing and appeals processes.

• Proven ability to interpret EOBs, remittanceadvice, payer contracts, and denial reasons.

• Proficiencywith major Home Health or Hospice EMR and billing systems (e.g., HCHB,WellSky/Kinnser, MatrixCare).

• Comprehensive knowledge of ICD-10 coding, institutional claim forms (UB-04/CMS-1450), and payer billing rules.

Preferred:

• Associate’sorBachelor’s degree in Business, Accounting, Finance, ora relatedfield.

• Certification in Medical Billing, Coding, or Revenue Cycle Management (e.g., CPC, COC, CRCR).

Skills and Competencies

• Exceptional analytical and problem-solving skillswith strong attention to detail.

• Proven ability to troubleshoot complex billing and payment issues.

• Assertive and persistent approachto collections with strong negotiation skills.

• Excellent written and verbal communication,maintainingprofessionalism under pressure.

• High levelof integrity with a strong focus on regulatory compliance and continuous process improvement.

If you are a driven revenue cycle leader with a proven ability tooptimizebilling accuracy, maximize collections, and lead high-performing teams, we invite you to apply and help strengthen Synergy’s financial foundation.