Insurance Navigator for Behavioral Health Access

Integrated Services for Behavioral Health; Jackson (OH); On-site; USD 28,929 - 33,062; Full time

Job summary

Integrated Services for Behavioral Health in Southeast Ohio is seeking a Client Insurance Specialist to support insurance verification, authorizations, billing navigation, and payer communications. You will work with clinical teams to ensure timely access to services and accurate coverage information across Southeast and Central Ohio.

The role requires strong communication, data entry, and knowledge of Medicaid, managed care, and OhioRISE.

Qualifications

• High school diploma or GED required.
• Associate or bachelor's degree preferred.
• 2–3 years of experience in behavioral health insurance verification, authorizations, billing support, or related areas.
• Experience in a community mental health or healthcare setting preferred.

Responsibilities

• Provide staff education and consultation regarding insurance coverage, payer requirements, eligibility verification, and authorization processes.
• Develop workflows and reference materials to strengthen client insurance communication and navigation.
• Serve as escalation point for complex client insurance questions and payer barriers.
• Monitor and communicate client insurance renewals, changes, and payer updates.
• Extract and organize client insurance data within EHR systems to support continuity of care.
• Communicate with clients to implement self-pay agreements and collect payments when applicable.
• Maintain and distribute internal lists related to client insurance changes.
• Collaborate with patients, intake, billing, scheduling and clinical teams to ensure accurate insurance information.
• Track Medicaid, managed care, commercial insurance, and OhioRISE changes affecting authorizations or access.
• Collaborate with utilization review and billing staff to resolve insurance issues and minimize interruptions.
• Use data analytics to identify trends, gaps, and operational needs in insurance management.
• Maintain HIPAA compliance and adhere to safety guidelines.
• Travel within designated service areas.
• All other duties as assigned.

Skills

Advanced communication

Organizational skills

Confidential information handling

Safety compliance

Multitasking

EHR documentation

Driver's license

Auto insurance knowledge

Internet-based office environment

High-speed internet

Data entry

Education

High school diploma or GED

Associate or bachelor's degree preferred

Tools

Microsoft Excel

Microsoft Word

Outlook

Job description

Integrated Services for Behavioral Health in Southeast Ohio is seeking a Client Insurance Specialist to support insurance verification, authorizations, billing navigation, and payer communications. You will work with clinical teams to ensure timely access to services and accurate coverage information across Southeast and Central Ohio.

The role requires strong communication, data entry, and knowledge of Medicaid, managed care, and OhioRISE.