Client Insurance Navigator for Behavioral Health

Integrated Services for Behavioral Health; Logan (OH); On-site; USD 28,929 - 34,440; Full time

Benefits offered by this job

Medical

Dental

Vision

Short-term Disability

Long-term Disability

401(k) with employer match

EAP

Job summary

Integrated Services for Behavioral Health seeks an Insurance Specialist to educate staff on insurance coverage, verify eligibility, and manage authorizations for clients in Southeast Ohio. The role emphasizes workflow development, data tracking, and collaboration with billing and clinical teams to minimize coverage gaps and ensure access to care.

Responsibilities include monitoring renewals, handling good faith estimates, and maintaining HIPAA compliance while supporting continuity of care

Qualifications

• High school diploma or GED required.
• Associate or bachelor’s degree in healthcare administration, social work, business, behavioral health, or related fields preferred.
• 2–3 years of behavioral health insurance verification, authorizations, billing support, utilization review, or healthcare coverage navigation 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 record systems (ECR/HER) to support continuity of care and operational workflows.
• Communicate with clients to implement self-pay agreements, provide good faith estimates, and collect payments when applicable.
• Maintain and distribute internal communication lists and updates related to client insurance changes impacting services or billing.
• 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.

Skills

Communication

Organization

Multitasking

Data entry

Excel

Word

Outlook

HIPAA compliance

Education

High school diploma or GED

Associate or bachelor’s degree preferred

Tools

Microsoft Excel

Job description

Integrated Services for Behavioral Health seeks an Insurance Specialist to educate staff on insurance coverage, verify eligibility, and manage authorizations for clients in Southeast Ohio. The role emphasizes workflow development, data tracking, and collaboration with billing and clinical teams to minimize coverage gaps and ensure access to care.

Responsibilities include monitoring renewals, handling good faith estimates, and maintaining HIPAA compliance while supporting continuity of care