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.