Spectrum Billing Solutions Benefits Overview

Review clinical records to determine medical necessity for ABA and behavioral health services, obtain and manage initial and continuing authorizations, handle denials and peer review referrals, document cases, track authorizations, liaise with clinical staff and payers, and ensure HIPAA compliance.

Serve as primary client contact for RCM clients, support implementations, liaise between clients and internal RCM teams, identify improvement opportunities, participate in client meetings, and maintain knowledge of RCM workflows.