Lead Biller

Broad River Rehab Lead Biller - Corporate Office Based in Asheville NC Full Time - Hourly Position Position Overview: We are seeking an experienced and detail-oriented Lead Biller to join our team. This role is responsible for the full revenue cycle process, including claim submission, insurance follow-up, payment posting, appeals, and resolution of outstanding accounts, with a focus on patients in assisted living and skilled nursing settings. The ideal candidate will have a strong background in therapy billing and a working knowledge of insurance regulations and medical terminology. Key Responsibilities: Ensure timely and accurate submission of claims to all payers, including private insurance, Medicare, and Medicaid. Verifying and reviewing therapist-entered charges and patient diagnoses for coding accuracy and compliance. Post payments and adjustments to patient accounts with a high degree of accuracy. Initiate and manage appeals for denied or underpaid claims; consult with management on complex cases. Communicate effectively with insurance carriers to resolve claim issues and verify reimbursement criteria. Provide required medical records and documentation to payers as needed. Perform insurance verifications and clearly communicate authorization requirements and outcomes. Maintain up-to-date knowledge of coding guidelines, including ICD-10, CPT codes, and payer-specific requirements. Consistently meet internal and external processing and reporting deadlines. Demonstrate a willingness to cross-train and assist in other billing-related departments such as credentialing and insurance verification, as needed. Qualifications: Education: High school diploma or GED required. Experience: Minimum of 3 years of experience in medical billing required. Experience in both facility and outpatient billing; therapy billing experience is strongly preferred. Familiarity with NetHealth and Waystar platforms is a plus. Previous provider credentialing experience preferred. Skills and Competencies: Proficient in interpreting fee schedules and applying medical coding standards (ICD-10, CPT). Strong verbal and written communication skills. Exceptional attention to detail with the ability to prioritize and multitask effectively. Independent thinker with strong problem-solving abilities. Excellent customer service skills and a team-oriented mindset. Proficient in medical office terminology and documentation best practices. Flexible and open to cross-functional training and support across billing operations. Please contact: Linda DeCesare at [email protected] for further details! Lead Biller - Asheville NC - Full Time