The Claims Technician supports the full billing lifecycle, including scheduling, insurance verification, authorizations, credentialing, claim submission, payment follow-up, and denial resolution. They take ownership of their responsibilities, follow through until issues are resolved, and communicate effectively with insurance companies, families, and internal team members.

Benefits:

• 401(k)
• Company parties
• Dental insurance
• Health insurance
• Paid time off

Claims Technician

Position Summary


The Claims Technician supports the full billing lifecycle, including scheduling, insurance verification, authorizations, credentialing, claim submission, payment follow-up, and denial resolution. This position requires strong attention to detail, organization, communication, and follow-through.


Key Responsibilities

• Manage claims from initial insurance verification through submission, payment, and resolution.
• Submit and monitor insurance claims for accuracy and timely processing.
• Track outstanding, pending, denied, rejected, and unpaid claims.
• Investigate denials, correct claims, submit appeals, and follow up with insurance companies.
• Verify insurance benefits and assist with prior authorizations and reauthorizations.
• Assist with provider credentialing, recredentialing, and insurance enrollment.
• Track credentialing applications, effective dates, and outstanding requirements.
• Assist with client and staff scheduling and communicate schedule changes.
• Monitor schedules to ensure services align with insurance authorizations.
• Maintain accurate documentation of billing, credentialing, authorization, and insurance activity.
• Communicate with clinical and administrative team members to resolve billing and scheduling issues.
• Maintain confidentiality and follow HIPAA requirements.
• Complete additional administrative responsibilities as assigned.

Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree preferred.
• Experience with medical billing, insurance claims, credentialing, scheduling, or healthcare administration preferred.
• Behavioral health or ABA billing experience is a plus.
• Understanding of insurance terminology, including authorizations, denials, appeals, EOBs, and claims.
• Strong attention to detail, organization, and time-management skills.
• Comfortable communicating with insurance companies and managing multiple priorities independently.
• Proficiency with computers, electronic records, insurance portals, and billing systems.

Skills & Competencies
The ideal Claims Technician is organized, persistent, detail-oriented, and comfortable problem-solving. They take ownership of their responsibilities, follow through until issues are resolved, and communicate effectively with insurance companies, families, and internal team members.


Schedule
Full-time, Monday through Friday.


Reporting Structure
The Claims Technician reports to the designated billing, revenue cycle, or administrative leader.