ICF Biller/Regional Business Office Manager

ICF Biller/Regional Business Office Manager Solon, OH 44139 Hybrid work $54,580.53 - $65,731.39 a year - Full-time $54,580.53 - $65,731.39 a year - Full-time Overview The ICF Biller & Regional Business Office Oversight role is responsible for managing billing operations for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF) in compliance with Ohio Department of Medicaid (ODM) regulations. This position oversees regional business office functions, ensuring accurate Medicaid billing, financial integrity, and adherence to Ohio-specific regulatory requirements. Responsibilities Process and manage Ohio Medicaid billing for ICF/IID services , ensuring accuracy and timeliness Maintain compliance with ODM rules, including eligibility verification, authorizations, and reimbursement guidelines Submit and monitor claims through systems such as MITS and Next Generation Medicaid Information Technology System Investigate and resolve claim denials, payment discrepancies, and eligibility issues Oversee regional business office operations , including accounts receivable, collections, and cash posting Ensure compliance with Ohio Department of Developmental Disabilities (DODD) requirements for ICF providers Reconcile and monitor resident trust accounts , ensuring accurate balances, proper documentation, and compliance with state and federal guidelines governing patient funds Conduct regular audits of trust transactions, including deposits, disbursements, and interest allocation Perform and review month-end close processes , including reconciliation of accounts receivable, cash, trust accounts, and general ledger balances Identify and resolve variances during month-end close and ensure timely financial reporting Train and support facility-level business office staff across multiple sites Monitor key revenue cycle metrics (aging, collections, denial trends) and implement process improvements Collaborate with administrators, finance teams, and state agencies to ensure financial performance and compliance Experience 3-5+ years of experience in ICF or long-term care billing , with strong emphasis on Ohio Medicaid Working knowledge of ODM billing rules, reimbursement methodologies, and audit requirements Experience with resident trust accounting and reconciliation processes Experience using Ohio Medicaid billing systems (MITS or NextGen) Understanding of ICF reimbursement structures in Ohio Strong analytical, organizational, and problem-solving skills Experience supporting or overseeing multi-site business office operations

Pay:

$54,580.53 - $65,731.39 per year

Benefits:

Dental insurance Health insurance Vision insurance Application Question(s): Are you located in Ohio?

Work Location:

Hybrid remote in Solon, OH 44139