Client Insurance Specialist

About the role

Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization serving Southeastern and Central Ohio. We help people access the resources they need for health and well-being, collaborating with local partners to promote healthy communities.

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.
• 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.
• 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.

Requirements

• Education: A high school diploma/GED is required. An associate or bachelors degree in healthcare administration, social work, business, behavioral health, or related fields is preferred.
• Experience: 2-3 years of experience in behavioral health insurance verification, authorizations, billing support, utilization review, or healthcare coverage navigation is required. Experience working within a community mental health or healthcare environment is preferred.

Qualifications

• Advanced communication skills, both oral and written are required.
• Advanced organizational skills are required.
• Knowledge of Ohio Medicaid, managed care organizations, behavioral health benefits, and payer authorization processes is required.
• Ability to maintain confidential information is required.
• Ability to adhere to all safety, rules, regulations and requirements is required.
• Ability to manage multiple priorities and collaborate effectively across departments is required.
• Able to document services accurately and efficiently in an electronic health record is required.
• A valid driver's license and the ability to operate a motor vehicle is required.
• An appropriate level of auto insurance coverage is required.
• Data entry, reporting, and spreadsheet management skills are required.

Skills

• Ability to operate in an Internet-based, automated office environment is required.
• Ability to maintain high-speed internet connection is required.

Benefits

• Medical
• Dental
• Vision
• Short-term Disability
• Long-term Disability
• 401K w/ Employer Match
• Employee Assistance Program (EAP)