Claims Follow-Up Analyst

Attain Behavioral Health
Toledo, OH
Job Title: Claims Follow-Up Analyst (Remote)

Department: Revenue Cycle Management

Reports To: Director of Revenue Cycle

FLSA Status: Non-Exempt

Position Summary

The Claims Follow-Up Analyst is responsible for proactive and persistent follow-up on behavioral health insurance claims to ensure timely reimbursement, denial resolution, and optimal cash flow. This role plays a critical part in the revenue cycle by investigating unpaid, underpaid, and denied claims while ensuring compliance with payer, state, and federal regulations.

The ideal candidate has strong knowledge of behavioral health billing, payer rules, and authorization requirements and demonstrates exceptional attention to detail, analytical thinking, and communication skills.

Essential Duties And Responsibilities

Claims Follow-Up & Resolution

  • 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.

Payer Communication

  • 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.

Authorization & Medical Necessity Support

  • 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.

Revenue Cycle Performance

  • 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.

Compliance & Documentation

  • 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.

Required Qualifications

  • 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 Qualifications

  • 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).

Key Competencies

  • Analytical and detail-oriented
  • Strong follow-through and persistence
  • Time management and prioritization
  • Problem-solving mindset
  • Professional communication with payers and internal teams
  • Ability to work independently and as part of a team

Physical & Work Environment

  • Primarily sedentary office or remote work.
  • Prolonged computer and telephone use.
  • Occasional deadlines requiring focused attention.
Posted 2026-02-13

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