Revenue Cycle Specialist- Medicaid Claims & Denials (Hybrid role)

Revenue Cycle Specialist I Location:

Dayton, OH (hybrid) Must live in

Ohio Job Type:

Full-Time, Permanent Salary:

$35,000 - $41,600 per year (based on experience)

Schedule:

Flexible options: 8:00 AM-4:30 PM or 7:00 AM-3:30 PM. Monday to Friday.

About Woodhaven:

Woodhaven Treatment Center is a leading provider of voluntary adult addiction and mental health treatment services. Our Financial Department plays a crucial role in sustaining our mission, and we're seeking a detail-oriented Revenue Cycle Specialist who thrives in solving complex billing challenges and has hands-on experience with Medicaid MCOs and claim denials.

Position Overview:

As a Revenue Cycle Specialist I, your primary focus will be resolving Medicaid Managed Care Organization (MCO) denials, submitting timely appeals, and ensuring accurate billing practices. This position is ideal for a motivated billing professional with a strong understanding of Ohio Medicaid processes and behavioral health billing regulations.

Key Responsibilities:

Analyze denied Medicaid MCO claims and identify root causes Prepare and submit detailed appeals and supporting documentation Research Ohio Medicaid policies, billing guidelines, and payer rules Follow up on outstanding claims with no payer response Track, report, and escalate recurring issues to leadership Collaborate with the billing team to improve claim workflows Assist with revenue cycle improvement projects as assigned

What You Bring:

Required:

High school diploma or

GED Preferred:

1-2 years of experience in medical billing, preferably in behavioral health

Required:

Strong experience with Medicaid MCO billing and denial management Proficiency in Microsoft Office Suite (especially Excel) Familiarity with EHR/RCM systems (Carelogic, NexGen, or similar preferred) CPR Certification (Company-sponsored if needed) Excellent attention to detail, time management, and problem-solving skills

Why Join Woodhaven:

Comprehensive Benefits:

Health, dental, vision, life insurance, STD, LTD 401(k) with company match PTO Flexible scheduling and remote work potential after training

Referral Bonus Program:

Earn $250-$500 for bringing in qualified candidates Supportive team and inclusive culture How to

Apply:

Submit your resume and answer the screening questions. Then email HumanResources@WoodhavenOhio.com to schedule a phone and/or in-person interview. Woodhaven is an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. About Woodhaven - Havens of Ohio LLC WOODHAVEN's mission is to provide a warm, caring environment that centers on empowering clients to overcome obstacles in their lives caused by substance abuse.

WOODHAVEN

promotes a culture that attracts highly skilled and continuously developing staff that will deliver superior services to its clients. In doing so, WOODHAVEN's clients, staff, and stakeholders' lives are enriched.