Billing and Follow Up Specialist

Medical Billing and Follow Up Specialist - Full-time - Asheville / NC - North Carolina - Hybrid Position (3 Days at the Corporate Office/2 Days Remote) Please contact: [email protected] for further details! We currently have a full-time Medical Billing and Follow Up Specialist opportunity at our corporate office in Asheville, NC / North Carolina, with the option for a remote position! Broad River Rehabilitation partners with skilled nursing and assisted living facilities to provide exceptional physical, occupational and speech therapy services. 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. Proactively perform claims follow-up on outstanding accounts receivable, including researching unpaid, denied, or partially paid claims and taking appropriate action to ensure timely resolution and reimbursement. Analyze payer responses, remittance advice, and denial codes to identify root causes and implement corrective actions. Escalate complex or unresolved issues appropriately while maintaining clear documentation of all follow-up activities. Identify trends in denials or payment delays and communicate findings to leadership to support process improvement and revenue optimization. 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 Strong team player proactive and self-motivated well-rounded in all aspects of medical billing and follow up Particularly skilled with technology and systems 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. Strong understanding of claims lifecycle and accounts receivable (A/R) follow-up processes. Ability to analyze remittance advice (EOBs/ERAs) and denial codes to determine appropriate follow-up actions. Experience working aging reports and prioritizing accounts based on timeliness, payer guidelines, and dollar value. Knowledge of payer-specific requirements, including Medicare and Medicaid regulations related to billing and follow-up. Ability to identify denial trends and recommend process improvements to reduce future claim issues. Highly organized with the ability to manage follow-up queues and maintain thorough documentation of account activity. Persistent and results-driven with a focus on timely resolution of outstanding claims and maximizing reimbursement. We offer a wonderful work environment with a fantastic team already in place and looking to add one more! Full Time Benefits Include: Competitive wages Low-cost health insurance Dental and vision insurance Supplemental life insurance, short- and long-term disability Generous PTO package with PTO buy out options (100%) 401k Retirement Plan Medical Billing and Follow Up Specialist - Full-time - Asheville / NC - North Carolina - Hybrid Position (3 Days at the Corporate Office/2 Days Remote) Medical Billing and Follow Up Specialist - Full-time - Asheville / NC - North Carolina - Hybrid Position (3 Days at the Corporate Office/2 Days Remote)