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Certified Medical Biller / Coder Fully Remote - US

HAAS ASSOCIATES, DBA EverCare Mobile Health

Certified Medical Biller / Coder

Full Time • Fully Remote - US
Responsive recruiter
Benefits:
  • 401(k) matching
  • Competitive salary
Role Summary

The Billing Lead oversees EverCare’s billing operations, ensuring timely, accurate, and compliant revenue capture across multiple states and from multiple payers. This role demands both hands-on technical expertise and leadership: someone who understands the inner workings of multiple EHRs/billing systems, can drive process improvement, optimize reimbursement strategies, ensure audit readiness, and build a high-performing billing team that supports the mobile mental health care model inside long-term care facilities.

Key Accountabilities

  • Team Leadership & Development
    • Lead, manage, and hold accountable the billing team - including credentialing, claims specialists, and billing professionals - to ensure accuracy, efficiency, and compliance in all billing operations while driving consistent cash flow and organizational success.
    • Hire, onboard, train, mentor, and evaluate team members.
    • Build a culture of continuous improvement, accountability, and collaboration.
  • Claims & Insurance Management
    • Oversee timely and accurate preparation, submission, and follow-up on claims for 13+ payers across multiple states.
    • Ensure insurance verification processes are reliable and efficient.
    • Apply payer-specific knowledge and coding sequence strategies to maximize allowable reimbursements while staying fully compliant.
    • Manage and monitor payer portals for claim status, rejections, and communication.
  • Credentialing & Provider Enrollment
    • Ensure providers are properly credentialed/enrolled with payers; monitor renewals to avoid lapses.
    • Liaise with payers and networks to manage enrollments, re-enrollments, and new payer additions.
  • Coding & Documentation Oversight
    • Ensure proper CPT/ICD coding and documentation to support claims.
    • Optimize reimbursement through accurate code ordering, modifier usage, and alignment with payer rules.
  • Revenue Cycle Optimization
    • Measure, monitor, and improve revenue cycle KPIs (A/R days, denial rate, clean claim rate, etc.).
    • Track, reconcile, and manage accounts receivable to minimize aging and improve collections.
    • Continuously refine billing practices to capture the maximum legitimate revenue possible.
  • Technical & System Management
    • Manage and evaluate multiple EHR/billing software tools.
    • Lead system migrations/upgrades; ensure data integrity and minimal disruption.
    • Utilize reporting tools and dashboards to provide actionable insights for leadership.
  • Compliance & Audit Readiness
    • Stay current with payer regulation changes, state Medicaid/Medicare rules, and coding updates.
    • Maintain compliant billing practices; ensure documentation satisfies audit requirements.
    • Conduct regular internal audits and prepare for external reviews as needed.
  • Reporting & Financial Oversight
    • Provide regular revenue and billing performance reports to the Finance Lead.
    • Forecast revenue, including impacts of denials, rate changes, or payer delays.
    • Manage billing department budget and vendor relationships.
  • Policy, Procedures & Documentation
    • Write, maintain, and update Standard Operating Procedures (SOPs) for all billing processes.
    • Ensure staff adhere to procedures and perform internal process audits.
  • Stakeholder Collaboration
    • Work closely with clinical and operations teams to ensure documentation supports billing.
    • Engage payer representatives for escalated or complex issues.
    • Coordinate with IT for system integration, data extraction, and vendor management.

Qualifications

  • Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent strongly preferred.
  • Minimum 5–7 years of experience in medical billing/revenue cycle, including leadership/supervisory responsibilities.
  • Experience with multiple EHR/billing systems, including billing migrations.
  • Proven success leading a billing team and managing change.
  • Strong understanding of mental/behavioral health billing; care management billing highly desirable.
  • Long-term care facility billing experience a plus.
  • Multi-state billing knowledge (currently Oregon and Idaho; expansion expected).
  • Tech-forward mindset with comfort in adopting new tools, reporting systems, and data dashboards.
  • Excellent analytical, problem-solving, and communication skills.

Success Metrics / KPIs

  • A/R aging maintained under target threshold.
  • Denial rate reduced year-over-year.
  • Clean claim submission rate at or above target.
  • Credentialing completed on time, with no lapses.
  • Revenue collections consistently align with allowable payer reimbursements.
  • Forecasted vs. actual revenue within acceptable variance.

Attributes / Fit

  • Tech-forward and adaptable, eager to leverage tools and automation.
  • Process-oriented and detail-driven.
  • Thrives in a fast-growth EOS® company, balancing structure with adaptability.
  • Strong ethics and compliance mindset.
  • Clear and confident communicator across staff, leadership, and external partners.

Core Values Alignment

At EverCare, our team members live out these values every day:

  • Help First: Give abundantly. Serve without expecting.
  • Embrace Change: Stay flexible. Keep learning. Grow stronger. Enjoy the ride.
  • Have Fun, Get Stuff Done: Bring joy. Get it done. Be yourself.
  • Built on Trust, Kept by Loyalty: Do what you say. Build trust. Take ownership.
  • Be Bold: Care deeply. Act wisely. Create together. Inspire change.

The Billing Lead is expected to model these values in every aspect of leadership and decision-making, ensuring the billing function not only performs at a high level but also reflects the culture we are committed to building.



This is a remote position.

Compensation: $65,000.00 - $75,000.00 per year




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