Client Insurance Navigator - Behavioral Health

Integratedservice

Jackson (OH)

On-site

USD 28,888 - 33,833

Full time

14 days+

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Benefits offered by this job

Medical

Vision

Short-term Disability

Long-term Disability

401(k) with Employer Match

Employee Assistance Program (EAP)

Job summary

Integrated Services for Behavioral Health (ISBH) is seeking a Client Insurance Specialist to support insurance verification, authorizations, and billing navigation in Southeastern Ohio. The role involves educating staff, developing workflows, and resolving payer issues to ensure continuous client access to services.

You will work with clinical and billing teams, monitor renewals, and handle data in EHR systems while complying with HIPAA and safety guidelines.

Qualifications

2–3 years of experience in behavioral health insurance verification, authorizations, billing support, or healthcare coverage navigation.
Experience in a community mental health or healthcare environment preferred.
Strong communication and organizational skills are required.

Responsibilities

Provide staff education and consultation regarding insurance coverage, payer requirements, eligibility verification, and authorization processes for clients.
Develop workflows, reference materials, and process improvements to strengthen client insurance communication and navigation across the organization.
Serve as the escalation point for complex client insurance questions, coverage concerns, and payer‑related barriers affecting client care.
Monitor and communicate client insurance renewals, dropped coverage, eligibility changes, payer updates, and coverage limitations to staff and departments.
Extract, track, and organize client insurance renewal and coverage data within the electronic health records systems (EHR) to support continuity of care and operational workflows.
Collaborate with patients, direct service providers, intake, billing, scheduling, and clinical teams as needed to ensure accurate and current client insurance information.
Track Medicaid, managed care, commercial insurance, and OhioRISE or waiver‑related changes that impact authorizations or service access for clients.
Collaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptions.
Utilize data tracking and analytics to identify trends, coverage gaps, and operational needs related to client insurance management and access to care.
Maintain compliance with HIPAA, mandated reporting requirements, and professional ethical guidelines.
Travel with designated service areas.
All other duties as assigned.