BILLING COORDINATOR - NON PROFIT MENTAL HEALTH

PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY•Toms River, NJ

25d•$80,000 - $85,000•Onsite

About The Position

Preferred Behavioral Health Group is seeking an experienced, detail-oriented Billing Coordinator for its Finance Department. This full-time position is based at the organization’s office at 52 Hyers Street in Toms River, New Jersey, and has a starting salary of $80,000. The coordinator will oversee billing staff, manage billing operations across behavioral health payer types, and support the transition to a new electronic health record. The role requires accuracy in complex billing environments and expert knowledge of NJMHAPP and commercial, Medicare, Medicaid, state, county, and federal behavioral health payors. The Billing Coordinator will submit and follow up on claims, address denials and rejections, maintain regulatory and coding knowledge, and manage patient statements and delinquent accounts. The position also involves communicating with clients about billing concerns, coordinating an offshore billing team, collaborating with Quality and Compliance, and serving as an operational liaison between billing and finance during implementation of the Continuum Cloud Electronic Health Record. The organization describes its culture as trauma-informed and committed to staff development and belonging.

Requirements

At least 3 years of billing experience in a nonprofit behavioral health setting.
At least 3 years of supervisory and behavioral health billing experience.
Proficiency with commercial, Medicare, Medicaid, state, county, and federal payor portals.
High school diploma or equivalent.
Proficient written and verbal communication.
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.
Ability to use a trauma-informed approach to client financial concerns.
Familiarity with claim submission processes, billing software, and EHR/EMR systems.
Strong problem-solving skills for complex billing and reimbursement issues.

Nice To Haves

Billing certificate such as CPB, CMRS, or equivalent.
Clearinghouse and Inovalon experience.

Responsibilities

Directly oversee and supervise Billing Specialist staff.
Submit claims to NJMHAPP, commercial, Medicare, Medicaid, state, county, and federal payors in accordance with payer-specific rules and regulations.
Follow up promptly on outstanding claims and resolve denials.
Use payer portals for claim submission, eligibility checks, and claims follow-up.
Review payer rejections and clearinghouse reports.
Maintain current knowledge of billing codes, compliance guidelines, and regulatory changes.
Ensure compliance with federal, state, and local billing regulations.
Review and send patient statements and manage delinquent accounts.
Communicate with clients about billing inquiries, including payment options, client hardships, and client fees.
Collaborate with Quality and Compliance to support system configuration and workflow efficiency.
Coordinate the offshore billing team to maintain quality standards and performance goals.
Serve as the primary operational liaison between billing and finance and support implementation of the Continuum Cloud Electronic Health Record.