Medical Billing Specialist

Medical Billing Specialist

Location: Madisonville, OH - In Person Employment Type: Full-Time - In Person

Definition and Primary Objective: The Medical Billing Specialist ensures individuals have the financial resources to access and maintain services. This role works directly with individuals, families, and third-party payers to determine eligibility, benefits, and payment options. The Specialist helps remove financial barriers, explains insurance coverage and limits, and assists with financial assistance programs and paperwork. They proactively identify financial issues and collaborate with Intake and Finance Departments to mitigate roadblocks preventing or disrupting service delivery.

Qualifications

• Education: Associate degree in healthcare, billing, accounting, or related field preferred; equivalent experience with high school diploma considered.
• Experience: Knowledge of public and private health insurance required; experience with electronic medical records preferred.
• Skills: Excellent phone etiquette, customer service, and proficiency with Microsoft Office.

Key Responsibilities

• Direct Service

  • Work with clients to resolve financial issues and provide exceptional customer service.
  • Notify clients of insurance lapses and non-covered services.
  • Secure benefits and financial assistance; assist with paperwork.
  • Provide financial counseling and connect clients with community resources.
  • Oversee eligibility for sliding scale, grant-funded services, and scholarships.
  • Manage inquiries regarding financial aid, billing disputes, prior authorizations, and payment plans.

• Fiscal

  • Meet productivity, financial, and operational performance indicators.
  • Minimize lapses in insurance and payment disruptions.
  • Collect co-payments and document payments accurately.
  • Understand Medicaid and third-party payor regulations.

• Administration/Quality Assurance

  • Utilize software to manage financial assistance data and run eligibility reports.
  • Ensure accurate and timely documentation.
  • Stay informed on funding changes and insurance coverage updates.
  • Verify insurance coverage and update billing systems.

• Internal and External Collaboration

  • Collaborate with Finance, Intake, and program staff to ensure continuity of care.
  • Build relationships with external partners to maximize financial assistance.
  • Assist with timely processing of behavioral health claims.

Compensation and Benefits:

• $20-$25/hr
• Full benefits package includes:
• Health, Dental, and Vision insurance
• Retirement Plan
• Tuition Assistance
• Paid Time Off and Holidays

Work Environment

Exposed to a combination of office, school, and behavioral health treatment environments. Regular interaction with children and adolescents experiencing behavioral and emotional challenges is expected.

Physical Demands

While performing this role, the employee is regularly required to sit, stand, walk, bend, and lift items up to 20 pounds. Reasonable accommodations may be made for individuals with disabilities.

Our Culture

Best Point Education & Behavioral Health is Greater Cincinnati's leading nonprofit specializing in education, behavioral health, therapeutic services, and autism support for vulnerable and at-risk youth, their families, and caregivers.

We are committed to fostering an inclusive, respectful, and equitable workplace. Our team leads with compassion, tolerance, and professionalism in every interaction. All employees are expected to uphold these values in their daily work.

All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against, based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category.