Lead Medical Biller

AAPC

Asheville (NC)

On-site

USD 60,000 - 75,000

Full time

11 days ago
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Benefits offered by this job

403(b) with employer matching
Health benefits
EAP
Volunteer Time Off (VTO)
Paid holidays and time off
Training and growth opportunities

Job summary

Mercy Urgent Care in Western North Carolina seeks a Lead Medical Insurance Biller to manage claims, verify patient coverage, follow up on denials, and mentor the billing team in a fast-paced clinical setting.

You’ll ensure accurate ICD-10/CPT coding, compliant EMR/EHR record keeping, and timely reimbursement while upholding The Mercy Way culture. This leadership role requires strong communication and problem-solving skills to train staff and improve payer relations.

Qualifications

  • 3-5 years of experience in medical billing or insurance claims processing.
  • Strong claims management and payer relations skills.
  • Proficiency with medical billing software and EMR/EHR systems.
  • Solid knowledge of ICD-10 and CPT codes.
  • Ability to train and mentor billing staff in a team setting.

Responsibilities

  • Claim submission: Prepare and submit insurance claims to various payers.
  • Insurance verification: Verify patient coverage and eligibility; manage patient accounts.</li>
  • Denial and appeal management: Follow up on denials and appeals with documentation.
  • Patient/provider communication: Answer billing questions and resolve discrepancies.
  • Record maintenance and compliance: Maintain billing records in EMR/EHR and stay HIPAA compliant.
  • Leadership and training: Train and support billing staff for accuracy and process improvement.

Skills

Claims management
Communication
Mentoring
Organizational skills
Billing accuracy

Education

High school diploma

Tools

Medical billing software
EMR/EHR systems
ICD-10/CPT knowledge

Job description

Contribute to Western North Carolina's Healthcare Heritage

Join the lineage of healthcare excellence established by the Sisters of Mercy since 1900. At Mercy Urgent Care, we're continuously evolving to meet the needs of our community. Here's your chance to be part of this enduring legacy in a key role within our Business Office.

Role Overview: Lead Medical Insurance Biller

This position is responsible for submitting medical claims, verifying insurance, following up on unpaid claims, and managing patient accounts to ensure timely and accurate reimbursement. Key duties include accurately coding diagnoses and procedures, processing payments, handling denials and appeals, and communicating with patients and insurance companies. Additionally, this role serves in a lead capacity by training, mentoring, and supporting the billing team while helping identify process improvements and modeling The Mercy Way culture.

Benefits: As a full-time team member, you'll enjoy:
  • 403(b) with employer matching
  • Health benefits (medical, dental, vision)
  • Employee Assistance Program (EAP)
  • Volunteer Time Off (VTO) policy
  • Paid holidays and time off
  • Training and growth opportunities in a mission-driven environment
What You'll Do:
  • Claim submission: Prepare and submit insurance claims to various payers, including private insurance, government programs, corporate accounts, and special programs.
  • Insurance verification and payments: Verify patient insurance coverage and eligibility; manage patient accounts, payments, and medical collections.
  • Denial and appeal management: Follow up on denied or unpaid claims, research reasons for denial, and submit appeals with appropriate documentation.
  • Patient and provider communication: Answer patient billing questions, explain statements, and work with providers to resolve billing or coding discrepancies.
  • Record maintenance and compliance: Maintain accurate billing records in the EMR/EHR and stay current on ICD-10/CPT coding, payer policies, and relevant regulations (including HIPAA).
  • Leadership and training: Provide training, education, and resources to the billing team, supporting consistency, accuracy, and continuous improvement.
What We're Looking For:
  • High school diploma or equivalent.
  • 3-5 years of experience in medical billing or insurance claims processing, with strong claims management and payer relations skills.
  • Proficiency with medical billing software and EHR systems, and strong knowledge of ICD-10 and CPT codes.
  • Demonstrated ability to train and mentor billing staff, with excellent communication, problem-solving, and organizational skills.
  • Ability to work independently and as part of a team in a fast-paced, mission-driven environment.

Join a team where your billing expertise, leadership, and commitment to compassionate service are valued, your growth is supported, and your work truly makes a difference.

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