Certified Medical Biller / Coder (Idaho or Oregon state)

Job Description

Job Description

Benefits :

• 401(k) matching
• Competitive salary

Role Summary

The Billing Lead oversees EverCares 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

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.

Oversee timely and accurate preparation, submission, and follow-up on claims for 13+ payers across multiple states.

Ensure providers are properly credentialed / enrolled with payers; monitor renewals to avoid lapses.

Ensure proper CPT / ICD coding and documentation to support claims.

Measure, monitor, and improve revenue cycle KPIs (A / R days, denial rate, clean claim rate, etc.).

Manage and evaluate multiple EHR / billing software tools.

Stay current with payer regulation changes, state Medicaid / Medicare rules, and coding updates.

Provide regular revenue and billing performance reports to the Finance Lead.

Write, maintain, and update Standard Operating Procedures (SOPs) for all billing processes.

Work closely with clinical and operations teams to ensure documentation supports billing.

Qualifications

Success Metrics / KPIs

Attributes / Fit

Core Values Alignment

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

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.