Humana · 1 month ago
Home Healthcare Claims Pre-Billing Audit Manager
United States
Full-time
Remote
Mid, Senior Level
$86K/yr - $119K/yr
7+ years expHumana is a leading healthcare company dedicated to putting health first. The Manager of Pre-Bill Audit will provide strategic leadership and operational oversight for the organization’s pre-billing function, ensuring claims are audit-ready and driving improvements in revenue cycle performance and compliance.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
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
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
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
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
Qualification
Required
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
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
Preferred
Strong understanding of system workflows in Homecare Homebase (HCHB) preferred
Benefits
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
Medical, dental and vision benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Emilie Fritsch
Senior User Interface Design Engineer
Recent News
2026-02-04
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2026-02-04
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