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Billing Specialist at Forward Health
Columbus, Ohio, United States -
Full Time

Start Date

Immediate

Expiry Date

13 Aug, 26

Salary

0.0

Posted On

15 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Medicaid Billing, Behavioral Health Billing, Claim Submission, CPT/HCPCS Coding, ICD-10 Coding, Revenue Cycle Management, HIPAA Compliance, EHR Systems, Payment Posting, Remittance Reconciliation

Industry

Software Development

Description
Description We are seeing an experienced Behavioral Health Billing Specialist to handle all Medicaid billing functions for our agency. This role is responsible for accurate claim submission, resolving denials, maintaining compliance with Medicaid regulations, and supporting overall revenue cycle efficiency. Responsibilities: Submit and manage Medicaid claims for behavioral health services Verify documentation accuracy and proper coding (CPT/HCPCS, ICD-10) Track, correct, and resubmit rejected or denied claims Post payments and reconcile remittances Maintain compliance with Medicaid policies, HIPAA, and state regulations Coordinate with clinicians and staff on documentation and authorizations Qualifications: Medical or behavioral health billing experience Strong knowledge of Medicaid billing and behavioral health service codes Experience with EHR/billing systems Detail-oriented with strong problem-solving skills Billing/coding certification preferred but not required Requirements Experience with medical billing and Medicaid billing. Experience with Sunwave, preferred.
Responsibilities
The role is responsible for managing Medicaid claims for behavioral health services, including submission and resolving denials. It also involves ensuring documentation accuracy and maintaining compliance with state and HIPAA regulations.