Billing Specialist

Job Description

Job Description

We are seeking a Billing Specialist!

Central and Southeastern, Ohio

Join our Team!

Integrated Services for Behavioral Health (ISBH) is a community-focused, forward-thinking behavioral health organization dedicated to supporting individuals on their path to health and well-being. We meet people where they are—in their homes and communities—and connect them with the resources they need. Serving Southeastern and Central Ohio, ISBH provides a comprehensive range of behavioral health and related services, collaborating with local partners to promote healthy individuals and strong communities. All services are designed to be collaborative and personalized to each individual.

The Billing Specialist is responsible for processing client billing and supporting revenue cycle operations to ensure accurate and timely reimbursement for behavioral health and related services. This role is primarily focused on Medicaid billing but may also include Medicare and private payer claims. The position will have a specialized focus on respite billing and follow-up, ensuring accurate claim submission, tracking, and resolution. Knowledge of respite services and billing practices is considered a strong asset.

The pay range for this position is $23.85 to $28.02 per hour based on experience

• Provide comprehensive billing services for ISBH
• Perform billing-related activities, including but not limited to:
  • Electronic claim (EDI) creation and submission for multiple payers
  • Self-pay claim processing
  • Payment posting and reconciliation
  • Investigation and resolution of claim denials
  • CareLogic Billing/Accounts Receivable configuration and maintenance
  • Interaction with payer and clearinghouse portals
• Monitor and communicate the status of billing tasks and accounts
• Support internal staff and external partners in resolving billing errors and issues
• Deliver professional, responsive customer service in all interactions
• Maintain advanced knowledge of:
  • Ohio’s behavioral health payment environment
  • Carelogic billing and AR functionality
  • Ohio Managed Care Organization (MCO) billing requirements
  • ISBH and partner-specific documentation and billing standards
• Attend internal and external training as needed.
• Assist with special projects as assigned by the Billing Manager.
• Travel within designated service areas.
• Perform other duties as assigned.

Minimum Requirements:

Education/Licensure:

• A high school diploma or GED equivalent is required
• A bachelor's degree in finance, accounting, or a related field is preferred

Education:

• 3 years of experience in Ohio behavioral health Medicaid billing is required
• 3 years of experience using an electronic health record (EHR) system for claims processing: Carelogic experience is preferred
• Experience with or knowledge of respite services billing is preferred

Knowledge, Skills, and Abilities

• Excellent communication skills, both oral and written is required

• Excellent organizational skills are required

• The ability to bill Medicaid without restrictions is required

• A valid driver's license and the ability to operate a motor vehicle are required

• An appropriate level of auto insurance coverage is required

• Ability to manage deadlines within a fast-paced, high-volume environment is required

• The ability to operate in an Internet-based, automated office environment is required

• The ability to maintain a high-speed internet connection is required

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer are required

• Must be able to lift up to 15 pounds at times

Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!

Benefits include:

• Medical
• Dental
• Vision
• Short-term Disability
• Long-term Disability
• 401K w/ Employer Match
• Employee Assistance Program (EAP) provides support and resources to help you, and your family, with a range of issues

To learn more about our organization:

OUR MISSION
Delivering exceptional care through connection

OUR VALUES
Dignity - We meet people where they are on their journey with respect and hope

Collaboration - We listen to understand and ask how we can best support the people and communities we serve

Wellbeing - We celebrate one another's strengths, and we support one another in being well

Excellence - We demand high-quality care for those we serve, and we are a leader in how we care for one another as a team

Innovation - We deeply value a range of perspectives and experiences, knowing it is what inspires us to stretch past where we are and reach towards what we know is possible

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this position. It is not to be construed as an exhaustive list of duties performed by the individuals in this role, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.