Billing Specialist
$23.85 - $28.02 per hourIntegrated Services of Appalachian Ohio
Billing Specialist
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 billing and follow-up, ensuring accurate claim submission, tracking, and resolution.
The pay range for this position is $23.85 - $28.02 per hour.
Essential Functions:
- Provide billing services for ISBH and its external customers.
- Complete billing-related activities including, but not limited to the following:
- Claim EDI creations for various payers.
- Self-pay claim processing
- Payment posting
- Claim denial investigations and remediation
- Carelogic Billing / AR configuration and setup
- Interact with payment/clearinghouse portals
- Communicate the status of tasks
- Support ISBH staff and external customers to resolve common errors.
- Interact with ISBH staff and external customers positively, providing excellent customer service.
- Maintain advanced knowledge of:
- Ohio's Behavioral Health Payment Environment
- Carelogic software and Billing / AR functionality
- Ohio MCO billing requirements
- ISBH and customer-required content.
- Attend internal and external training as needed.
- Participate in special projects as requested by the Billing Manager.
- Other duties as assigned.
Minimum Requirements:
- A high school diploma or GED is required, a bachelor's degree is preferred.
- Three years of experience working in Ohio behavioral health Medicaid billing.
- Three years of experience using an electronic health record system to process claims, experience with Carelogic preferred.
- Demonstrates a high degree of cultural awareness.
- Ability to effectively communicate through verbal/written expression.
- Must be able to operate in an Internet-based, automated office environment.
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.
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 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
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.
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