Behavioral Health Claims Specialist
1 month ago
Threshold Billing Solutions is seeking a skilled Claims Specialist to join our team. As a key member of our Claims and Verification of Benefits team, you will play a crucial role in analyzing and following up on behavioral health claims to ensure timely and accurate reimbursement.
Key Responsibilities:- Claims Management: Handle the submission, status updates, and resolution of Commercial, Medicaid, and Government behavioral health claims.
- Claim Status Tracking: Ensure timely follow-up on submitted claims, meeting established productivity goals.
- Denial Resolution: Identify and resolve denied or rejected claims, providing feedback on recurring issues to improve processes.
- Medical Records Submission: Collect and submit medical records to insurance companies as needed.
- Patient Eligibility Verification: Confirm coverage for new patients and communicate eligibility statuses.
- Collaboration: Work closely with behavioral health facilities, insurance companies, and credentialing departments to resolve billing inquiries.
- Experience with insurance claims for behavioral health, including Medicaid and Commercial payers.
- Ability to maintain detailed notes and adhere to HIPAA regulations.
- Strong communication and problem-solving skills.
- Familiarity with online clearinghouses and claims software is a plus.
At Threshold Billing Solutions, we value teamwork, integrity, and professional growth. If you are a motivated and detail-oriented individual with a passion for behavioral health, we encourage you to apply for this exciting opportunity.
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Behavioral Health Claims Specialist
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