Medical Billing Manager

Join a Mission-Driven Organization Transforming Senior Care

At At Home Harmony, we are redefining how seniors receive care by bringing high-quality, compassionate medical and personal services directly into the home. Based in Richmond, were growing rapidly across Virginia and beyond. Our integrated care model combines home-based primary care, long-term care pharmacy, advanced dementia support, and in-home personal care—helping medically complex seniors remain safe, comfortable, and well-supported in their homes.

We are seeking an experienced Medical Billing Manager to lead and optimize the revenue cycle for our growing, mission-driven healthcare organization serving seniors. This is a high-impact leadership role overseeing billing and revenue cycle operations across primary care, care management programs, long-term care pharmacy, and personal care services.

If you thrive at the intersection of data, compliance, and process improvement—and enjoy building and leading high-performing teams—this role offers the opportunity to make a meaningful difference while driving financial performance.

What You'll Do

• Lead end-to-end billing and revenue cycle operations, ensuring accurate, timely claims submission and denial resolution.
• Oversee payer adjudication, audits, medical records requests, and complex billing workflows.
• Analyze revenue trends, KPIs, and forecasts in partnership with the Controller to support business-line financial performance.
• Develop and implement special billing processes using data from multiple systems.
• Serve as a key point of contact for billing inquiries from payers, patients, and internal stakeholders.
• Supervise and develop a multi-level billing team, including hiring, training, and performance management.
• Ensure compliance with Medicare, payer guidelines, and regulatory requirements.
• Leverage tools such as EMRs, clearinghouses, coding systems, and payer resources to maximize reimbursement.

What You Bring

• 5+ years of medical billing experience in a primary care or healthcare setting.
• Bachelors degree in Finance, Accounting, Business, Healthcare Administration or related field preferred but equivalent combinations of education and experience will be considered
• Strong expertise in revenue cycle management, claims adjudication, and denial management.
• Proficiency in ICD-10 and CPT/HCPCS coding.
• Advanced Excel skills and comfort working with data models; SQL familiarity a plus.
• Experience with healthcare billing systems (Athena preferred; Waystar, SuiteRx, AxisCare a plus).
• A proactive, analytical, and collaborative leadership style.
• CPC or other billing/coding certification preferred.

Why Join Us

• Competitive salary ($70,000 to $75,000) and comprehensive benefits.
• Hybrid work flexibility.
• Opportunity to lead, innovate, and grow with a multi-service healthcare organization.
• Supportive, team-oriented culture focused on continuous improvement and impact.