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 recruitment@broadriverrehab.com for further details!

Lead Biller – Asheville NC – Full Time