Billing Specialist

Forward HealthColumbus, OH

About The Position

We are seeking 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.

Requirements

  • 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
  • Experience with medical billing and Medicaid billing.

Nice To Haves

  • Billing/coding certification preferred but not required
  • Experience with Sunwave

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
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