Claim Specialist (Behavioral Health)

Position Summary:
The Claim Specialist will be responsible for managing the full lifecycle of insurance claims. This includes following up on pending claims, resolving denied or rejected claims, and ensuring timely and accurate reimbursement. The ideal candidate is organized, persistent, and comfortable communicating with insurance companies and internal teams to resolve billing issues efficiently.

Key Responsibilities:
• Follow up on outstanding, pending, and aging insurance claims
• Investigate, correct, and resubmit denied or rejected claims
• Communicate with insurance payers to resolve claim issues and discrepancies
• Review claim status and identify root causes of denials
• Work closely with billing and clinical teams to gather required documentation
• Maintain accurate records of claim activity, updates, and resolutions
• Appeal denied claims when appropriate and track appeal outcomes
• Ensure claims are processed in a timely manner to support revenue flow
• Identify patterns in denials and recommend process improvements
• Assist with general revenue cycle and billing support as needed

Qualifications:
• Experience in medical billing, claims follow up, or revenue cycle management preferred
• Familiarity with insurance processes, denials, and appeals strongly preferred
• Strong attention to detail and problem-solving skills
• Excellent communication skills
• Ability to stay organized while managing multiple claims at different stages
• Psychiatry or behavioral health experience is a plus but not required

How to Apply:
Please submit your resume and include a short introduction video (30–60 seconds) sharing why you believe you are a strong fit for this role.