Revenue Cycle Specialist- Medicaid Claims & Denials (onsite) in Dayton, Ohio at Woodhaven - Havens of Ohio LLC

Revenue Cycle Specialist I

Location: Dayton, OH (Must live in Ohio)

Job Type: Full-Time, Permanent

Salary: $37,440 – $45,760 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.