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Serving Southeastern and Central Ohio, ISBH provides a comprehensive range of behavioral health and related services, collaborating with local partners to promote healthy individuals and strong communities. Integrated Services for Behavioral Health (ISBH) is a community-focused, forward-thinking behavioral health organization dedicated to supporting individuals on their path to health and well-being.

HOUR

We are seeking a Billing Specialist!Central and Southeastern, OhioJoin our Team!Integrated Services for Behavioral Health (ISBH) is a community-focused, forward-thinking behavioral health organization dedicated to supporting individuals on their path to health and well-being. We meet people where they are—in their homes and communities—and connect them with the resources they need. Serving Southeastern and Central Ohio, ISBH provides a comprehensive range of behavioral health and related services, collaborating with local partners to promote healthy individuals and strong communities. All services are designed to be collaborative and personalized to each individual.The Billing Specialist is responsible for processing client billing and supporting revenue cycle operations to ensure accurate and timely reimbursement for behavioral health and related services. This role is primarily focused on Medicaid billing but may also include Medicare and private payer claims. The position will have a specialized focus on respite billing and follow-up, ensuring accurate claim submission, tracking, and resolution. Knowledge of respite services and billing practices is considered a strong asset.The pay range for this position is $23.85 to $28.02 per hour based on experience Essential Functions:<ul><li>Provide comprehensive billing services for ISBH</li><li>Perform billing-related activities, including but not limited to:
	<ul><li>Electronic claim (EDI) creation and submission for multiple payers</li><li>Self-pay claim processing</li><li>Payment posting and reconciliation</li><li>Investigation and resolution of claim denials</li><li>CareLogic Billing/Accounts Receivable configuration and maintenance</li><li>Interaction with payer and clearinghouse portals</li></ul></li><li>Monitor and communicate the status of billing tasks and accounts</li><li>Support internal staff and external partners in resolving billing errors and issues</li><li>Deliver professional, responsive customer service in all interactions</li><li>Maintain advanced knowledge of:
	<ul><li>Ohio’s behavioral health payment environment</li><li>Carelogic billing and AR functionality</li><li>Ohio Managed Care Organization (MCO) billing requirements</li><li>ISBH and partner-specific documentation and billing standards</li></ul></li><li>Attend internal and external training as needed.</li><li>Assist with special projects as assigned by the Billing Manager.</li><li>Travel within designated service areas.</li><li>Perform other duties as assigned.</li></ul>Minimum Requirements:Education/Licensure:<ul><li>A high school diploma or GED equivalent is required</li><li>A bachelor's degree in finance, accounting, or a related field is preferred</li></ul>Education: <ul><li>3 years of experience in Ohio behavioral health Medicaid billing is required</li><li>3 years of experience using an electronic health record (EHR) system for claims processing: Carelogic experience is preferred</li><li>Experience with or knowledge of respite services billing is preferred</li></ul>Knowledge, Skills, and Abilities<ul><li>Excellent communication skills, both oral and written is required</li></ul><ul><li>Excellent organizational skills are required</li></ul><ul><li>The ability to bill Medicaid without restrictions is required</li></ul><ul><li>A valid driver's license and the ability to operate a motor vehicle are required</li></ul><ul><li>An appropriate level of auto insurance coverage is required</li></ul><ul><li>Ability to manage deadlines within a fast-paced, high-volume environment is required</li></ul><ul><li>The ability to operate in an Internet-based, automated office environment is required</li></ul><ul><li>The ability to maintain a high-speed internet connection is required</li></ul>Physical Requirements<ul><li>Prolonged periods of sitting at a desk and working on a computer are required</li></ul><ul><li>Must be able to lift up to 15 pounds at times</li></ul>Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!Benefits include:<ul><li>Medical</li><li>Dental</li><li>Vision</li><li>Short-term Disability</li><li>Long-term Disability</li><li>401K w/ Employer Match</li><li>Employee Assistance Program (EAP) provides support and resources to help you, and your family, with a range of issues</li></ul>To learn more about our organization:<a href="https://integratedservice.org/" rel="nofollow">https://isbh.org/</a>OUR MISSION 
Delivering exceptional care through connectionOUR VALUES Dignity - We meet people where they are on their journey with respect and hopeCollaboration - We listen to understand and ask how we can best support the people and communities we serveWellbeing - We celebrate one another's strengths, and we support one another in being wellExcellence - We demand high-quality care for those we serve, and we are a leader in how we care for one another as a teamInnovation - 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 possibleWe’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.

Integrated Services for Behavioral Health

Billing Specialist

Accounting

Accounts Receivable

Accounts Receivable Management

Auto Insurance

Behavioral Health

Billing

Billing Records

Claims Processing

Communication Skills

Customer Support/Service

Documentation Standards

Driver's License

Electronic Data Interchange (EDI)

Employee Assistance Plan

Finance

Healthcare

Healthcare Reimbursement

High School Diploma

Managed Care

Medicaid

Medical Billing

Medical Record System

Medicare

Operational Support

Organizational Skills

Payment Posting

Presentation/Verbal Skills

Problem Solving Skills

Reconciliation

Team Player

Time Management

Willing to Travel

Writing Skills

clearcompany

Patient Access Associate Specialist are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.

Thank you for considering a career at Ensemble Health Partners!Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!Our Purpose and ValuesO.N.E Purpose:<ul><li>Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.</li><li>Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.</li><li>Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.</li></ul>The OpportunityENTRY LEVEL CAREER OPPORTUNITY OFFERING:<ul><li>Bonus Incentives</li><li>Paid Certifications</li><li>Tuition Reimbursement</li><li>Comprehensive Benefits</li><li>Career Advancement</li></ul>This position pays between $17.00 - $18.15/hr based on experience*This PRN position is on-site, and candidates must be able to work on-site at Adena - Pike, Waverly, OHThe Opportunity: Patient Access Associate SpecialistWe are searching for the next Patient Access Associate Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.Job Responsibilities:<ul><li>Patient Access Associate Specialist are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.</li><li>Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.</li><li>They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.</li><li>Patient Access Associate Specialist will be held accountable for point of service goals as assigned.</li><li>Patient Access Associate Specialist are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.</li><li>Patient Access Associate Specialist are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.</li><li>The Patient Access Associate Specialist explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness's name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.</li><li>Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.</li><li>Responsible for accurately screening medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.</li></ul>Experience We Love:<ul><li>1+ years of customer service experience</li><li>Minimum Education: High School Diploma/GED Required</li><li>Certifications: CRCR Required within 6 months of hire (Company Paid)</li></ul>Join an Award-Winning CompanyFive-time winner of "Best in KLAS" 2020-2022, 2024-2025<ul><li>Black Book Researchs Top Revenue Cycle Management Outsourcing Solution 2021-2024</li><li>22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024</li><li>Leader in Everest Groups RCM Operations PEAK Matrix Assessment 2024</li><li>Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023</li><li>Energage Top Workplaces USA 2022-2024</li><li>Fortune Media Best Workplaces in Healthcare 2024</li><li>Monster Top Workplace for Remote Work 2024</li><li>Great Place to Work certified 2023-2024</li></ul>Our Culture<ul><li>Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.</li><li>Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.</li><li>Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.</li><li>Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.</li></ul>Equal Employment OpportunityEnsemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.EEOC - Know Your Rights
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Ensemble Health Partners

Patient Access Associate Specialist - PRN

Advance Beneficiary Notice (ABN)

Auditing

Credit and Collections

Customer Experience

Data Entry

Demographics

Documentation

Emerging Technology

English Language

FMLA (Family and Medical Leave Act of 1993)

Financial Management

Hospital

Human Health

Informed Consent

Insurance

Leadership

Maintain Compliance

Medical Records

Needs Assessment

Operational Audit

Outsourcing

Pamphlets

Patient Education

Patient Registration

Point of Sale (POS) Systems

Regulatory Compliance

Regulatory Requirements

Revenue Management

Shipping/Receiving

Spanish Language

Statistics

Systems Administration/Management

Team Lead/Manager

Telephone Skills

Tuition Reimbursement

The Referral Specialist plays a key role in supporting continuity of care by tracking referral outcomes, returning calls promptly, and ensuring that clients are connected with appropriate services based on their needs, insurance, and location. This role performs detailed data entry within the electronic health record system, verifies insurance coverage, schedules intake appointments, and communicates effectively with clients, providers, and internal teams.

We are seeking a Referral Specialist!Southeastern, OHJoin 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 they need. 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. All of our services are intended to be collaborative and personalized for the individual.The Referral Specialist will be responsible for efficiently managing all incoming referrals to ensure clients have timely access to behavioral health services. This role performs detailed data entry within the electronic health record system, verifies insurance coverage, schedules intake appointments, and communicates effectively with clients, providers, and internal teams. The Referral Specialist plays a key role in supporting continuity of care by tracking referral outcomes, returning calls promptly, and ensuring that clients are connected with appropriate services based on their needs, insurance, and location. This position requires strong organizational skills, attention to detail, professionalism, and the ability to navigate multiple software systems in a fast-paced, hybrid work environment. The pay range for this position is $22.93 - $25.38 based on experience, education, and/or licensure: Essential Functions: <ul><li>Process incoming referrals efficiently and accurately in the electronic health record system </li><li>Perform detailed data entry, including demographics, contact information, referral details, emergency contacts, and payer information </li><li>Schedule intake appointments based on staff availability and client needs </li><li>Verify insurance coverage at the time of intake and prior to scheduled appointments </li><li>Maintain an up-to-date understanding of internal referral processes and county-based service pathways </li><li>Respond to phone calls with professionalism and empathy, directing inquiries or taking messages as appropriate </li><li>Answer referral phone line and promptly return voicemails </li><li>Collaborate with intake and access staff to ensure referral loop closure and continuity of care </li><li>Track referral outcomes and follow up to ensure continuity of care </li><li>Communicate effectively with clients to explain referral processes, provide support, and reduce barriers to accessing care </li><li>Assess client needs and identify appropriate behavioral health providers based on insurance coverage, geographic location, and specialty needs </li><li>Travel within designated service area  </li><li>Performs other duties as assigned </li></ul>Minimum Requirements: Education/Licensure: <ul><li>High school degree or GED equivalent is required </li></ul>Experience: <ul><li>Three years of experience working in a medical referral position and/or nonprofit administrative management environment required </li></ul>Knowledge, Skills and Abilities: <ul><li>Excellent communication skills, both oral and written is required </li><li>Excellent organizational skills are required </li><li>Ability to use appropriate databases, spreadsheets, and other software </li><li>Ability to bill Medicaid without restrictions is required </li><li>A valid driver's license and the ability to operate a motor vehicle is required </li><li>An appropriate level of auto insurance coverage is required </li><li>Ability to manage deadlines within a fast-paced, high-volume environment is required </li><li>Ability to operate in an Internet-based, automated office environment is required </li><li>Ability to maintain high-speed internet connection is required </li></ul>Physical Requirements:  <ul><li>Prolonged periods of sitting at a desk and working on a computer is required </li><li>Must be able to lift up to 15 pounds at times is required </li></ul>Enjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!Benefits include:<ul><li>Medical</li><li>Dental</li><li>Vision</li><li>Short-term Disability</li><li>Long-term Disability</li><li>401K w/ Employer Match</li><li>Employee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.</li></ul>To learn more about our organization: <a href="https://integratedservice.org/" rel="nofollow">https://ISBH.org/</a>OUR MISSION 
Delivering exceptional care through connectionOUR VALUES Dignity - We meet people where they are on their journey with respect and hopeCollaboration - We listen to understand and ask how we can best support the people and communities we serveWellbeing - We celebrate one another's strengths, and we support one another in being wellExcellence - We demand high-quality care for those we serve, and are a leader in how we care for one another as a teamInnovation - 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 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.

Billing Jobs in Idaho, OH

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Billing Jobs in Idaho, OH

Billing Specialist Integrated Services for Behavioral Health

Patient Access Associate Specialist - PRN Ensemble Health Partners

Referral Specialist Integrated Services for Behavioral Health

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