What are the responsibilities and job description for the Revenue Cycle Specialist position at Championed Minds Agency?
Position Summary:
Championed Minds Behavioral Health is seeking a Billing Specialist with experience in behavioral health billing and revenue cycle management. The ideal candidate must be well-versed in Ohio Administrative Code (OAC), Ohio Revised Code (ORC), and Ohio Medicaid regulations. This role requires expertise in Electronic Health Records (EHR) systems, claims processing, and compliance to ensure accurate and timely reimbursement for services provided.
Key Responsibilities:
- Billing & Claims Management:
- Process and submit behavioral health claims accurately to Ohio Medicaid and third-party payers.
- Monitor claim status, follow up on denied or rejected claims, and ensure timely resolution.
- Perform accounts receivable follow-up and collections as needed.
- Compliance & Regulatory Adherence:
- Ensure billing practices align with Ohio Medicaid guidelines, ORC, and OAC regulations.
- Stay updated on Medicaid policy changes and communicate necessary adjustments to leadership.
- Assist in audits and compliance reviews to maintain financial integrity.
- Revenue Cycle Management:
- Oversee the full revenue cycle process, from patient registration to final claim payment.
- Identify trends in claim denials and implement strategies to minimize revenue loss.
- Work closely with clinical staff to ensure proper coding and documentation for claims submission.
- EHR & Technology Utilization:
- Utilize Electronic Health Record (EHR) systems for accurate patient data entry and billing.
- Generate and analyze financial reports to assess revenue trends and operational efficiencies.
- Provide training and support on billing best practices to internal staff as needed.
Qualifications & Experience:
- Education & Certifications:
- High school diploma or equivalent required.
- Medical billing and coding certification (CPC, CPB, CMRS, or similar) preferred.
- Experience:
- Minimum of 3-5 years of billing experience in a behavioral health setting.
- Extensive knowledge of Ohio Medicaid, private insurance, and managed care billing processes.
- Proficiency in EHR systems (e.g., CareLogic, TheraNest, or similar).
- Strong understanding of CPT, HCPCS, and ICD-10 coding in a behavioral health context.
- Skills:
- Excellent problem-solving and analytical skills for resolving claim denials.
- Strong communication skills to collaborate with clinical and administrative teams.
- Ability to work independently while maintaining high attention to detail.
Why Join Championed Minds?
- Be part of a mission-driven organization dedicated to improving the lives of children and families.
- Work in a collaborative and supportive environment.
- Competitive salary and benefits package.
- Opportunity to stay at the forefront of Ohio behavioral health regulations and Medicaid policies.
Job Type: Full-time
Pay: $21.56 - $24.15 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
Work Location: In person
Salary : $22 - $24