Job Description

Behavioral Health Billing Specialist

In this role, you'll manage key billing functions, investigate insurance claim issues, resolve denials, post payments, reconcile accounts, and help clients and families navigate billing questions. You'll collaborate with our Revenue Cycle, Finance, Intake, clinical, and school-based teams to maintain accurate records and support access to essential behavioral health services.

If you enjoy problem-solving, working with financial and healthcare data, and making a difference behind the scenes, this is an opportunity to put your skills to work in a mission-driven organization.

Qualifications

• Associate degree in accounting, healthcare administration, medical billing, business, or a related field preferred. An equivalent combination of education and relevant experience may be considered.
• Three or more years of experience in billing, accounts receivable, healthcare revenue cycle, behavioral health billing, Medicaid, Medicare, or third-party insurance preferred.
• Strong skills in Microsoft Office, including Outlook, Word, and Excel, as well as data entry, spreadsheets, reporting, and account reconciliation.
• Excellent customer service and professional communication skills, including the ability to discuss billing and financial matters respectfully with clients and families.
• Strong organizational skills and attention to detail, with the ability to manage competing deadlines and maintain accurate documentation.

Compensation & Benefits

Pay range of $20 - $25/hr

At Best Point Education & Behavioral Health, we believe taking care of our employees is essential to taking care of our community. That's why we offer a comprehensive and affordable benefits package designed to support your health, financial well-being, career growth, and work-life balance. Our benefit costs are approximately 38% lower than those of other organizations our size, helping you keep more of what you earn.

Health & Wellness

• Medical, dental, and vision coverage starting as low as $27 per paycheck for eligible employees.
• Health Savings Account (HSA) with employer contributions up to $1,200 annually for eligible plans covering two or more people.
• Flexible Spending Account (FSA) options.
• Free preventive care and wellness programs.
• Employee Assistance Program (EAP) offering confidential emotional, financial, legal, and personal support.
• Pet insurance options.

Financial Security

• Competitive 403(b) retirement plan with up to a 4% employer match.
• Employer-paid life insurance valued at 2.5 times annual salary, up to $300,000, for eligible employees.
• Short- and long-term disability coverage.
• Educational loan forgiveness support and resources.
• Public Service Loan Forgiveness eligibility.

Career Growth & Development

• Tuition reimbursement opportunities.
• 10% tuition discount for online programs through the University of Cincinnati.
• Leadership Academy and professional development programs at no cost.
• Interest-free personal computer loan program.
• Employee referral bonus opportunities, with bonuses up to $1,000.
• Continuing education opportunities and licensure supervision, where applicable.

Time Away

• Generous paid time off (PTO), up to 34 days off in the first year for eligible employees.
• 10 paid holidays.
• Paid parental leave for birth, adoption, or foster placement.
• Work-life balance support.

Job Responsibilities

Insurance Eligibility & Client Financial Support

• Verify Medicaid, Medicare, and commercial insurance eligibility using payer portals, online systems, and internal reports.
• Serve as a point of contact for clients and families with questions about insurance coverage, billing statements, payment estimates, financial assistance, and payment plans.
• Identify coverage gaps, insurance lapses, coordination-of-benefits issues, authorization needs, and other barriers that may affect care or reimbursement.
• Update insurance, demographic, authorization, and billing information in the Credible electronic health record system.
• Help clients navigate available financial assistance resources, vouchers, scholarships, and grant-funded services.
• Coordinate with internal teams to address coverage changes and support continuity of care.

Billing & Revenue Cycle Operations

• Review billing cycles and claims for accuracy before submission.
• Submit primary and secondary claims for behavioral health services, school-based programs, contracts, and other assigned payer arrangements.
• Research and correct claim errors using Credible, clearinghouse systems, and payer platforms.
• Apply knowledge of payer requirements, billing codes, provider credentials, service locations, and reimbursement guidelines.
• Monitor billed, unbilled, rejected, denied, unpaid, and underpaid claims.
• Prepare monthly client invoices and communicate billing and payment expectations.
• Support accurate, timely reimbursement through effective billing and account management.

Denial Management & Account Resolution

• Investigate denied, rejected, unpaid, underpaid, and incorrectly paid claims to identify root causes and determine next steps.
• Research eligibility, authorizations, provider credentialing, service documentation, coding, and reimbursement discrepancies.
• Prepare and submit corrected claims, appeals, reconsiderations, voids, and supporting documentation within payer deadlines.
• Follow up with insurance companies, clients, internal teams, and external partners to resolve outstanding accounts.
• Track claim activity, document resolution efforts, and maintain accurate account records.
• Identify recurring denial trends and workflow challenges, sharing recommendations to improve revenue cycle processes.
• Prepare account information for write-off review and approval in accordance with agency procedures.

Payment Posting & Account Reconciliation

• Post insurance and client payments, including payments from Medicaid, Medicare, commercial payers, schools, and contract arrangements.
• Review remittance advice and payment reports to identify discrepancies, refunds, recoupments, and incorrect reimbursements.
• Record client payments, copayments, deductibles, and other applicable balances.
• Reconcile accounts receivable, cash receipts, deposits, self-pay balances, and other assigned financial reports.
• Research and resolve unapplied payments, credit balances, payment variances, and secondary payer calculation issues.
• Establish and monitor client payment plans in accordance with agency procedures.
• Collaborate with Revenue Cycle, Finance, and program teams to support month-end reporting and financial accuracy.

Systems, Reporting & Collaboration

• Maintain accurate billing and accounts receivable data within Credible, including payer configurations, provider information, billing rules, service types, locations, and fee structures.
• Research and resolve billing system issues involving claims, payments, eligibility, and reporting.
• Support system testing, software updates, workflow improvements, and user acceptance testing.
• Assist with payer enrollment, provider credentialing, re-credentialing, and roster maintenance as assigned.
• Provide operational support to Revenue Cycle, Finance, Intake, clinical programs, school-based services, and other departments.
• Participate in cross-training, reporting, special projects, and process improvement initiatives.

Work Environment & Physical Requirements

This position operates in a combination of office, school-based, and behavioral health treatment environments. The role may involve interactions with children, adolescents, and families experiencing behavioral, emotional, or financial stressors. Employees may encounter children exhibiting behavioral concerns, including shouting or other signs of distress.

The position regularly requires sitting, standing, walking, bending, and lifting objects weighing up to 20 pounds. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.

Our Culture

Best Point Education & Behavioral Health is a Greater Cincinnati nonprofit specializing in education, behavioral health, therapeutic services, and autism support for children, families, and individuals in our community.

We are committed to fostering an inclusive, respectful, and equitable workplace. We lead with compassion, tolerance, and professionalism, and expect our employees to reflect these values in their daily interactions with colleagues, clients, families, and community partners.

Best Point Education & Behavioral Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, veteran status, disability, or any other protected category.

Ready to make an impact behind the scenes? Join Best Point and help strengthen the financial processes that support access to vital behavioral health services.