BILLING COORDINATOR - NON PROFIT MENTAL HEALTH

PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY•Toms River, NJ

5h•Onsite

About The Position

If you are looking to make an impact by helping others, then Preferred Behavioral Health Group is the place for you! By joining our award-winning team, you will become part of the premier behavioral health organization in New Jersey. PBHG is a dynamic and innovative non-profit organization that was proudly named one of "THE BEST PLACES TO WORK IN NEW JERSEY" for BOTH 2024 and 2025 by NJBIZ! Our mission is to change lives and save lives across the state of New Jersey through a Trauma Informed Care culture. Our staff is at the core of everything we do. We are dedicated to building a diverse team where employees feel a sense of belonging and are valued for their individual contributions. We encourage staff development and embrace a growth mindset. If you are interested in pursuing an exciting and rewarding career while being part of a recognized “Best Place to Work”, please submit your resume today for consideration! We are seeking an experienced, detail-oriented Billing Coordinator with at least 3 years of behavioral health billing experience in a Not-for-Profit Setting and possess expert-level knowledge of NJMHAPP, commercial, Medicare, Medicaid, State, County and Federal behavioral health payors. This role requires accuracy the ability to navigate in complex billing environments and coordinate / oversee activities of billing staff as well as transitioning to a new electronic health record.

Requirements

Minimum of 3 years billing experience in a non-profit behavioral health
Proficiency with commercial, Medicare, Medicaid, state, county and federal payor portals.
Minimum of 3 years of supervisory and behavioral health billing experience.
High school diploma or equivalent required.
Proficiently communicates - written and verbal
Knowledge of staff supervision in a nonprofit setting
In-depth understanding of CPT, ICD-10, and HCPCS coding standards.
Proficiency in medical office systems and billing software.
Knowledge of clearinghouse.
Strong understanding of payer regulations and behavioral health billing requirements.
Use a trauma informed approach to all client financial concerns.
Familiarity with claim submission processes, billing software, EHR/EMR systems.
Strong problem-solving skills for resolving complex billing and reimbursement issues.

Nice To Haves

Billing Certificates (CPB, CMRS, or equivalent)
Inovalon experience

Responsibilities

Directly oversee / supervise Billing specialist staff
Submit claims to NJMHAAP, commercial, Medicare, Medicaid, state, county and federal payors, following payer-specific rules and regulations.
Conduct timely follow-up on outstanding claims and resolve denials.
Use payer portals for claim submission, eligibility checks, and claims follow-up.
Review payer rejections and reporting in clearinghouse.
Maintain up-to-date knowledge of billing codes, compliance guidelines, and regulatory changes.
Ensure compliance with all federal, state, and local billing regulations.
Review and send patient statements; manage delinquent accounts.
Communicate with clients about any billing inquires included but not limited to payment options, client hardships, and client fees.
Collaborate with Quality and Compliance to support optimal system configuration and workflow efficiency.
Coordinate offshore billing team to maintain quality standards and performance goals.
Serve as the primary operational liaison between billing and finance as well as with the implementation of the newly implemented Continuum Cloud Electronic Health Record.