Billing Specialist
$23.85 - $28.02 per hourIntegratedservice
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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 arein their homes and communitiesand connect them with the resources they need. Serving Southeast 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
Essential Functions
- 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:
- Ohios 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.
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 Requirements
- 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 drivers 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
Benefits
- Medical
- 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
Were 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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