Behavioral Health Inpatient Billing Specialist

Job Description

Job Description

Description:

Integrated Care for Greater Health (ICGH) is a North Carolina behavioral health organization focused on helping individuals and families build healthier, more stable lives. We provide integrated behavioral health services for children, adolescents, and adults, including mental health and substance use services, counseling, medication management, peer support, and enhanced outpatient and residential programs. Our approach is centered on “Recovery – Not Treatment.” We believe the goal is to help people move beyond the clinic and build a healthy, stable, and fulfilling life in their community. As part of our team, you’ll play an important role in supporting the services that help make that recovery possible.

Success in this role means inpatient charges consistently move through the revenue cycle from charge approval to claim submission, A/R follow-up, and final resolution. You will play an important role in identifying billing issues early, keeping claims moving, and helping prevent avoidable delays in reimbursement. If you have strong medical billing experience, enjoy problem-solving, and want to play an important role in the financial operations of a behavioral health organization, we'd love to hear from you.

The Behavioral Health Inpatient Billing Specialist is responsible for managing the billing process for Detox, FBC (Facility Based Crisis), and RTC (Residential Treatment Center) services , from charge review through claim submission, A/R follow-up, and resolution. This position helps ensure inpatient services are billed accurately, claims are worked timely, and payment issues are addressed before they become prolonged revenue delays.

• Review and approve inpatient charges for accuracy and completeness.
• Verify charges are supported by documentation and meet payer billing requirements.
• Submit inpatient claims and monitor claim acceptance and rejections.
• Review unpaid and outstanding claims and follow up with payers.
• Work denials, rejected claims, and other billing issues through resolution.
• Submit corrected claims and appeals when needed.
• Review A/R and follow up on aging or unresolved accounts.
• Identify and resolve issues related to charges, documentation, authorizations, eligibility, or other factors affecting payment.
• Monitor payer issues and recurring billing problems that may affect reimbursement.
• Maintain accurate and timely billing records and follow established billing and compliance requirements.
• Communicate with internal team members and payers to resolve billing issues and keep claims moving.
• Maintain consistent follow-up to move accounts from billing through payment.

• Provide coverage for other Revenue Cycle functions as needed.
• Assist with eligibility, coverage verification, and outstanding balance follow-up when needed.
• Cross-train in other areas of the Revenue Cycle to support department coverage.
• Assist with special billing projects, audits, process improvements, or system changes.
• Assist with other duties and projects as assigned by the Revenue Cycle Manager.