Insurance and Coding Specialist

🔥 21 hours ago

🇺🇸 United States – Remote

💵 $47k - $60k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Brightline

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Brightline is a healthcare company that specializes in providing mental health care services for children and support for parents. With a focus on personalized therapy, psychiatry, and medication management, Brightline offers a simple and comprehensive approach to mental health care for families. They serve clients both virtually and in-person, with services available in multiple states including New York, New Jersey, Connecticut, Massachusetts, and Washington. Through experienced providers and innovative care plans, Brightline helps children and their caregivers manage mental health challenges, focusing on Cognitive Behavioral Therapy and data-driven results.

📋 Description

• 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. • Perform timely follow up on outstanding insurance claims. • Work denied, rejected, and underpaid claims. • Submit corrected claims, appeals, reconsiderations, and supporting documentation. • Perform routine provider documentation and coding audits to ensure coding accuracy and compliance. • Review CPT, ICD-10-CM, and modifier usage for appropriate code selection. • Identify documentation deficiencies and coding opportunities.

🎯 Requirements

• High school diploma or equivalent, required. Associate's or Bachelor's degree preferred. • AAPC Coding Certification (CPC or equivalent), required. • Experience with insurance eligibility 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. • Strong analytical, organizational, and problem solving skills. • Excellent written and verbal communication skills. • Ability to work independently while managing multiple priorities in a fast paced environment.

🏖️ Benefits

• Health coverage: Medical, Dental, and Vision insurance, plus Long-Term Disability, Life Insurance, a Flexible Spending Account, and a 401(k) • Time to recharge: 12 Company Holidays, Floating Holidays, and Paid Time Off — plus a company-wide Holiday Shutdown between Christmas and New Year's, so you can truly unplug knowing your teammates are offline too • Growing your family: Parental Leave to be present for what matters most • Perks & stipends: Health and Wellness Stipend, Home Office Reimbursement, License Maintenance Reimbursement, Commuter Benefits, and Professional Development Reimbursement to support how and where you do your best work