The Billing Claims Specialist is responsible for managing charge entry, processing claims, and handling rejections for behavioral health and substance abuse services. They will coordinate with payers and internal teams to ensure accurate billing, timely filing, and effective resolution of claim denials.
The VOB Specialist is responsible for verifying patient insurance eligibility, coordinating benefits, and obtaining necessary authorizations for medical procedures. They also manage patient demographic data, interpret clinical documentation, and facilitate the appeals process for denied authorization requests.
The Utilization Review Coordinator monitors adherence to the facility's utilization review plan to ensure efficient use of services and appropriate patient stays. They are responsible for managing insurance authorizations, conducting clinical reviews, and collaborating with healthcare partners to ensure continuous coverage.
The Team Lead is responsible for verifying insurance benefits and eligibility while serving as a liaison between clients and the VOB team. They also support the onboarding and training of new specialists while ensuring productivity and quality standards are met.
