BILLING COORDINATOR - NON PROFIT MENTAL HEALTH

PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY•Toms River, NJ

1d•Onsite

About The Position

Preferred Behavioral Health Group is a premier behavioral health organization in New Jersey, dedicated to changing and saving lives through a Trauma Informed Care culture. They are an award-winning, dynamic, and innovative non-profit organization recognized as one of "THE BEST PLACES TO WORK IN NEW JERSEY" for 2024 and 2025. PBHG values its diverse team, fostering a sense of belonging and encouraging staff development with a growth mindset. This full-time Billing Coordinator position is within the Finance Department and is based in Toms River, New Jersey.

Requirements

At least 3 years of behavioral health billing experience in a Not-for-Profit Setting.
Expert-level knowledge of NJMHAPP, commercial, Medicare, Medicaid, State, County and Federal behavioral health payors.
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.
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) are preferred.
Knowledge of clearinghouse, Inovalon experience preferred.

Responsibilities

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 inquiries 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.
Directly oversee / supervise Billing specialist staff.