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Behavioral Health Claims Specialist
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- The Claims Specialist will be advocating on the behalf of behavioral health facilities in an effort to obtain reimbursement for services billed.
- The Claims Specialists will be responsible for submitting claims through our online clearinghouse, following up on claim submission, researching and resolving denials, submitting medical records to insurance companies and verifying the eligibility of new patients.
- Responsibilities:The Claims Specialist has the following responsibilities and duties:Follow up on Commercial, Medicaid and Government behavioral health claims by phone calls to the insurance companies, websites, if available, or any other resources.
- Identifies, documents, and communicates trends in recurring rejections and denials to Supervisor.
- Recommends process improvements or system edits to eliminate future denials.
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