Insurance and Coding Specialist
Responsibilities
- Verify patient insurance eligibility and benefits prior to services
- Document eligibility findings accurately within the practice management system
- Identify and resolve eligibility discrepancies
- Accurately post insurance and patient payments
- Research payment variances, underpayments, and missing payments
- Perform timely follow up on outstanding insurance claims
- Work denied, rejected, and underpaid claims
- Submit corrected claims, appeals, and supporting documentation
- Perform routine provider documentation and coding audits for accuracy and compliance
- Review CPT, ICD-10-CM, and modifier usage
Requirements
- High school diploma or equivalent
- AAPC Coding Certification (CPC or equivalent)
- Experience with insurance eligibility verification, payment posting, and denial management
- Experience auditing provider documentation and coding
- Working knowledge of CPT, ICD-10-CM, and modifier usage
- Strong analytical and problem solving skills
Benefits
- Medical, Dental, and Vision insurance
- Long-Term Disability and Life Insurance
- 401(k) and Flexible Spending Account
- 12 Company Holidays, Floating Holidays, and PTO
- Company-wide Holiday Shutdown
- Parental Leave
- Health and Wellness Stipend
- Home Office Reimbursement
- License Maintenance and Professional Development Reimbursement
About the Company
Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18.
