Behavioral Health Outpatient Billing Specialist in Hickory, North Carolina at Integrated Care for Greater Health, Inc

Integrated Care for Greater Health (ICGH) is a recovery-focused organization that grew from Hickory, North Carolina into a growing continuum of services designed to help people build lives in which recovery can last. ICGH has grown by responding to barriers people can encounter in recovery, including distance, medication access, transportation, housing, justice transitions, and disconnected levels of care.

Today, ICGH connects community clinics, inpatient and mobile integrated care, statewide low-barrier telehealth, pharmacy and medication access, peer support, recovery housing, transportation, and care navigation. Our guiding philosophy is “Recovery—not treatment.” We believe in building a connected continuum that supports people in recovery wherever and however they access services.

The Behavioral Health Billing Specialist is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for behavioral health services. This role ensures compliance with payer requirements, state and federal regulations, and organizational policies while maximizing reimbursement and minimizing denials.

• Prepare, submit, and manage claims for behavioral health services (mental health and/or substance use treatment) to Medicaid, Medicare, and commercial insurance payers
• Verify patient insurance eligibility, benefits, authorizations, and coverage requirements
• Ensure services are billed accurately using appropriate CPT, HCPCS, ICD-10, and place-of-service codes
• Review clinical documentation to support prior authorization submissions and ensure compliance with payer authorization guidelines.
• Post payments, adjustments, and denials accurately in the billing system
• Identify, research, and resolve claim denials, underpayments, and rejections
• Submit appeals and corrected claims as necessary within payer deadlines
• Monitor accounts receivable and follow up on outstanding claims to ensure timely reimbursement
• Communicate effectively with clinicians, supervisors, and insurance representatives regarding billing issues

• High school diploma or equivalent
• Minimum of 1–2 years of medical billing experience, preferably in behavioral or mental health
• Knowledge of behavioral health billing codes, modifiers, and documentation requirements
• Familiarity with Medicaid, Medicare, and commercial insurance billing processes
• Experience with electronic health record (EHR) and practice management systems
• Strong attention to detail and accuracy
• Ability to manage multiple tasks and meet deadlines Preferred Qualifications
• Skills & Competencies
• Strong analytical and problem-solving skills
• Excellent written and verbal communication skills
• Ability to work independently and as part of a team
• Confidentiality and professionalism when handling sensitive patient information
• Proficiency in Microsoft Office (Excel, Word)

• Experience with outpatient behavioral health billing.
• Experience billing Intensive Outpatient Program (IOP) and Substance Abuse Comprehensive Outpatient Treatment (SACOT) services preferred, but not required.
• Familiarity with behavioral health payer requirements, authorization processes, and claims submission.