Insurance and Coding Specialist (Fully Remote)

• Verify patient insurance eligibility and benefits prior to services.
• Document eligibility findings accurately within the practice management system.
• Identify and resolve eligibility discrepancies that could impact reimbursement.
• Accurately post insurance and patient payments.
• Research payment variances, underpayments, and missing payments.

Claims Follow Up & Denial Management:

• Perform timely follow up on outstanding insurance claims.
• Work denied, rejected, and underpaid claims.
• Submit corrected claims, appeals, reconsiderations, and supporting documentation.

Coding & Documentation Audits:

• Perform routine provider documentation and coding audits to ensure accuracy and compliance.
• Review CPT, ICD-10-CM, and modifier usage for appropriate code selection.
• Identify documentation deficiencies and coding opportunities.

Brightline

Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.