HAAS ASSOCIATES, DBA EverCare Mobile Health

Compensation

Full Description

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.