Spectrum Billing Solutions

Serve as the primary point of contact for clients and assist with new client implementations. Collaborate with the internal RCM team to identify client needs and opportunities for improvement.

The specialist reviews clinical information to ensure medical necessity and obtains initial and continuing authorizations for ABA services. They also manage authorization denials, track ongoing cases, and collaborate with clinical staff and external clients.

Manage provider credentialing and contract applications with third-party carriers and government health plans. Serve as the team lead to handle escalated matters and ensure accuracy across internal and external databases.