Insurance and Coding Specialist
BrightlinePediatric Behavioral company
Remote$47,000 - $60,000Mid
Google Ventures
KKR
Oak HC/FT
Optum Ventures
Threshold
7wireVentures
Operations & Strategy
About the role
TL;DR
Specialist ensuring revenue cycle accuracy through insurance verification, payment posting, claims follow-up, and coding audits.
- •Brightline is seeking an Insurance and Coding Specialist to ensure the accuracy and integrity of the revenue cycle, from eligibility checks to claim payments.
- •This role is crucial for maintaining the financial health of the organization and ensuring continued care delivery.
- •Key Responsibilities Verify patient insurance eligibility and benefits prior to services.
- •Accurately post insurance and patient payments, researching variances.
- •Perform timely follow-up on outstanding claims and work denied/rejected claims.
- •Conduct provider documentation and coding audits for accuracy and compliance.
- •Requirements High school diploma or equivalent; Associate's or Bachelor's degree preferred.
- •AAPC Coding Certification (CPC or equivalent) required.
- •Experience with insurance verification, payment posting, claims follow-up, and denial management.
- •Experience auditing provider documentation and coding for accuracy and compliance.
- •Working knowledge of CPT, ICD-10-CM, and modifier usage.
Domain expertise
healthcare
Benefits & perks
Medical, Dental, and Vision insurance, Long-Term Disability, Life Insurance, Flexible Spending Account, 401(k), 12 Company Holidays, Floating Holidays, Paid Time Off, Company-wide Holiday Shutdown, Parental Leave, Health and Wellness Stipend, Home Office Reimbursement, License Maintenance Reimbursement, Commuter Benefits, Professional Development Reimbursement