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.
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.
CenterWell 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 development opportunities
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 12-26-2025
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.