Billing Specialist

Integrated Services for Behavioral Health; Lancaster (OH); On-site; USD 33,000 - 39,000; Full time

Job summary

Integrated Services for Behavioral Health is seeking a Billing Specialist in Central, Ohio. You will manage client billing and reimbursement processes for Medicaid and other payers, ensuring accurate claims and timely payments.

You will work with Carelogic Billing/AR configurations, handle EDI claims, self-pay processing, and denial remediation while maintaining confidentiality and compliance with Medicaid rules. Travel within the service area is required.

Qualifications

• High school diploma or GED required.
• Bachelor's degree in business, finance, or related field preferred.
• 3 years of Ohio behavioral health Medicaid billing experience required.
• Experience using Carelogic for claims processing preferred.
• Ability to maintain confidentiality and comply with Medicaid rules.

Responsibilities

• Provide billing services for the organization.
• Complete billing activities including EDI claim creation for payers.
• Process self-pay claims and post payments.
• Investigate and remediate claim denials.
• Configure billing/AR in Carelogic; interact with payer portals.
• Communicate task status and support timely resolutions.
• Travel within the designated service area.
• Participate in special projects as assigned.

Skills

Medicaid billing

Advanced communication

Organizational skills

Deadline management

Customer service

Education

High school diploma or GED

Bachelor's degree in business or finance

Tools

Carelogic

EDI systems

Job description

We are seeking a Billing Specialist!

Central, OH

Join our Team!

Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to the resources. We serve southeastern and central Ohio with a comprehensive array of behavioral health and other services, working with local partners to promote healthy people and strong communities. Our services are intended to be collaborative and personalized for the individual.

The Billing Specialist is responsible for processing client billing and other operations leading to reimbursement for behavioral health care and related services. The position is primarily focused on Medicaid, though may work with Medicare and/or private payers.

The pay range for this position is $23.85 to $28.02 per hour based on experience, education, and/or licensure.

Essential Functions:

• Provide billing services for the organization
• 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
• Communicating the status of tasks
• Support organizational delay to resolve common errors
• Interact with ISBH staff 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 required content
• Attend internal and external training as needed
• Participate in special projects as requested by the Billing Manager
• Travel within designated service area
• Performs other duties as assigned

Minimum Requirements:

Education/Licensure:

• A high school degree or GED equivalent is required
• A bachelor’s degree in business administration, finance or related fields is preferred

Experience:

• 3 years of experience working with Ohio behavioral health Medicaid billing is required
• 3 years of experience using an electronic health record system to process claims, experience with Carelogic is preferred

Knowledge, Skills and Abilities:

• Advanced communication skills, both oral and written is required
• Advanced organizational skills are required
• Ability to bill Medicaid without restrictions is required
• Ability to maintain confidential information is required
• Knowledge of Medicaid regulations and compliance requirements is required
• A valid driver's license and the ability to operate a motor vehicle is required
• An appropriate level of auto insurance coverage is required
• Ability to manage deadlines within a fast-paced, high-volume environment is required
• Ability to operate in an Internet-based, automated office environment is required
• Ability to maintain high-speed internet connection is required

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer is required
• Must be able to lift up to 15 pounds at times is required

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:

https://ISBH.org/

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

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.