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Insurance Verification & Eligibility:
- 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.
Payment Posting & Reconciliation:
- Accurately post insurance and patient payments.
- Research payment variances, underpayments, and missing payments.
Claims Follow Up & Denial Management:
- Perform timely follow up on outstanding insurance claims.
- Work denied, rejected, and underpaid claims.
- Submit corrected claims, appeals, reconsiderations, and supporting documentation.
Coding & Documentation Audits:
- Perform routine provider documentation and coding audits to ensure accuracy and compliance.
- Review CPT, ICD-10-CM, and modifier usage for appropriate code selection.
- Identify documentation deficiencies and coding opportunities.
Brightline
Brightline is a premier national youth mental health provider delivering high quality virtual and in-person care to families. Founded in 2019, Brightline has delivered care to tens of thousands of families and is backed by investors including Google Ventures and KKR.