Client Insurance Navigator & Authorization Specialist

Integratedservice; Piketon (OH); On-site; USD 28,929 - 34,440; Full time

Job summary

Integrated Services for Behavioral Health (ISBH) in Southeastern Ohio seeks a Client Insurance Specialist to verify coverage, explain payer requirements, and support authorization processes for clients across our services.

You will develop workflows, act as escalation point for complex insurance questions, monitor renewals, and collaborate with care teams to ensure accurate insurance data and timely access to services.

Qualifications

• High school diploma or GED required.
• Associate or bachelor’s in healthcare/behavioral health preferred.
• 2–3 years in behavioral health insurance verification or billing support required.
• Experience in community health care environment preferred.

Responsibilities

• Provide staff education and consultation on insurance coverage and eligibility.
• Develop workflows and reference materials to improve client insurance navigation.
• Serve as escalation point for complex client insurance questions.
• Monitor client insurance renewals and changes affecting care.
• Track insurance data within EHR to support continuity of care.
• Coordinate self-pay arrangements and collect payments when applicable.
• Maintain internal communication lists on client insurance changes.
• Collaborate with clinical and billing teams to ensure accurate insurance information.
• Track Medicaid, managed care, OhioRISE changes affecting authorizations.
• Resolve insurance issues with utilization review and billing staff.
• Use data analytics to identify trends and gaps.
• Maintain HIPAA compliance and ethical guidelines.
• Travel with designated service areas.
• All other duties as assigned.

Skills

Communication

Organization

Medicaid knowledge

Payer authorization

EHR documentation

Data entry

Excel

Word

Outlook

Driver's license

Education

High school diploma

Assoc./Bach. preferred

Tools

Excel

Word

Outlook

Job description

Integrated Services for Behavioral Health (ISBH) in Southeastern Ohio seeks a Client Insurance Specialist to verify coverage, explain payer requirements, and support authorization processes for clients across our services.

You will develop workflows, act as escalation point for complex insurance questions, monitor renewals, and collaborate with care teams to ensure accurate insurance data and timely access to services.