Attain Behavioral Health · 7 hours ago
Claims Follow-Up Analyst
United States
Full-time
Remote
Entry, Mid Level
2+ years expAttain Behavioral Health is seeking a Claims Follow-Up Analyst who will be responsible for proactive follow-up on behavioral health insurance claims to ensure timely reimbursement and denial resolution. The role involves investigating unpaid, underpaid, and denied claims while ensuring compliance with relevant regulations.
Mental Health Care
Responsibilities
Conduct timely follow-up on submitted behavioral health claims (commercial, Medicaid, Medicare)
Research and resolve unpaid, underpaid, delayed, or denied claims
Identify root causes of denials and take corrective action to prevent recurrence
Submit corrected claims, reconsiderations, and formal appeals as required
Track and monitor appeal timelines and outcomes
Communicate directly with insurance payers via phone, portals, and written correspondence
Obtain claim status updates, clarification on denials, and payment determinations
Document all payer interactions thoroughly in the billing system
Verify that services billed align with authorizations, level of care, and medical necessity
Collaborate with clinical and authorization teams to obtain missing documentation
Identify authorization-related denials and escalate trends to leadership
Maintain assigned accounts receivable (A/R) work queues and meet productivity standards
Prioritize high-dollar, aged, and high-risk claims
Support month-end and audit readiness activities
Identify payer trends and recommend process improvements
Ensure all activities comply with HIPAA, payer contracts, and state/federal regulations
Maintain accurate, complete documentation to support billing and audit requirements
Follow internal policies and revenue cycle procedures
Qualification
Required
High school diploma or equivalent required; associate or bachelor's degree preferred
Minimum 2 years of claims follow-up or A/R experience, preferably in behavioral health
Working knowledge of: CPT/HCPCS and ICD-10 coding basics, Behavioral health levels of care (OP, IOP, PHP, residential, MAT, etc.), Medicaid, Medicare, and commercial payer processes
Strong understanding of EOBs, remittances, and denial codes
Proficiency with EHRs, practice management systems, and payer portals
Excellent written and verbal communication skills
Preferred
Experience with Ohio Medicaid and managed care plans (if applicable)
Knowledge of behavioral health authorization and medical necessity criteria
Prior appeals and reconsideration experience
Revenue cycle certification (CRCR, CPC, CPB, or similar)
Company
Attain Behavioral Health
Attain Behavioral Health provides a healthy, safe, supportive environment helping you to heal, grow, and attain a level of health, wellness, recovery, well-being, and preparedness for a better life.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase