Lighthouse Behavioral Health Solutions (LBHS) provides individual, outpatient, intensive outpatient, partial hospitalization, residential, psychiatric services, and medication assisted treatment for mental health and substance abuse treatment needs. We are a treatment facility that prides itself in a welcoming and compassionate approach to substance use and mental health treatment. We believe our clients can achieve recovery and be valued community members through positive engagement and meaningful participation in treatment.

Our Goal:

Our comprehensive approach to addictions treatment provides a continuum of care that begins with asking for help and continues through to ongoing peer support. In addition to our state-of-the-art treatment facilities and peer support centers across Central Ohio, we work to remove barriers and promote access to care through our integrative approach and evidence-based clinical treatment.

Join our exciting and fast-growing company in which you will have an impact on improving people’s lives! Lighthouse Behavioral Health Solutions (LBHS) is looking for quality candidates who are pursuing professional growth in a supportive environment and can thrive in a collaborative team-focused culture.

• 9 Paid Holidays
• Paid Time Off
• Sick Time Off
• Paid continuing education opportunities
• Paid parental leave
• Medical/Dental/Vision
• 401(k)
• Life Insurance
• STAR/HRSA/Ohio student loan forgiveness programs (for applicable roles and locations)

Position: RCM Payment Specialist

Job Summary: The RCM Payment Specialist is responsible for ensuring accurate and timely posting of all payments, adjustments, and denials to patient accounts in the electronic health record (EHR) system. This role requires attention to detail, reconciliation of deposits, and resolution of payment discrepancies. The specialist works closely with the billing team, finance leadership, and other departments to ensure that patient accounts are up to date, accurate, and compliant with payer requirements.

Duties and Responsibilities:

• Accurately post insurance and patient payments, adjustments, and denials in Carelogic (or designated EHR system)
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to determine correct payment allocation, contractual adjustments, and denial codes
• Reconcile daily electronic deposits and payment batches with bank statements and deposit records provided by the CFO
• Identify, research, and resolve unapplied cash, duplicate postings, and payment discrepancies
• Transfer balances to patient responsibility when applicable and coordinate with the billing team for follow-up
• Maintain documentation of posting and reconciliation processes to ensure transparency and audit readiness
• Communicate effectively with insurance companies, patients, and internal staff to resolve payment-related issues
• Assist with denial trends by flagging and reporting recurring issues to the RCM leadership team
• Support month-end and year-end closing processes by reconciling accounts and preparing payment-related reports
• Ensure compliance with HIPAA, payer regulations, and company policies in all payment posting activities
• Perform other duties and special projects as assigned

Required Qualifications:

• High school diploma or equivalent required
• Minimum of 2 years of experience in healthcare payment posting, billing, or revenue cycle management
• Experience with Carelogic or similar EHR/billing platforms
• Must pass BCI check, all Corporate Compliance checks, and employment drug screen

Desired Qualifications:

• Associate’s degree in accounting, finance, healthcare administration, or related field
• Strong knowledge of Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), and denial/adjustment codes
• Understanding of medical billing, insurance claim cycles, and healthcare revenue cycle processes

Schedule: Monday - Friday 8:30a-5pm

Location: 140 E Town St Columbus, OH 43215 (remote option is available)

Lighthouse is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, age, color, religion, sex, national origin, sexual orientation, disability status, genetics, gender identity and/or expression, protected veteran status, or any other characteristic protected by federal, state, or local law.

LBHS adheres to Title VII of the Civil Rights Act as amended, Ohio Civil Rights Act, and all applicable rules and regulations. LBHS is an equal opportunity employer.