Behavioral Health Billing & Coding Specialist

PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY; Toms River (NJ); On-site; USD 56,000 - 74,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Retirement Plan 403(b)

Paid Time Off

Paid Holidays

Disability Insurance

Life Insurance

AD&D Insurance

Employee Assistance Program

Flexible Spending Account

Health Savings Account

Staff Training

Job summary

Preferred Behavioral Health of New Jersey is seeking a Behavioral Health Billing Coding Specialist to manage claims across NJ payors, including Medicaid and Medicare, and ensure accurate coding with CPT, ICD-10, and HCPCS. The role requires 3+ years in behavioral health billing and experience with both for-profit and non-profit settings.

Responsibilities include claim submissions, denials follow-up, payer portal usage, and collaboration with compliance and offshore teams to maintain high-quality

Qualifications

• High school diploma or equivalent required.
• Billing Certifications (CPB, CMRS or equivalent) preferred.
• 3+ years in behavioral health billing/coding.

Responsibilities

• Submit claims to NJMHAAP, commercial, Medicare, Medicaid, state and county payors.
• Perform timely follow-up on outstanding claims and denials.
• Use payer portals for submission, eligibility checks and follow-up.
• Review payer rejections and reporting in clearinghouse.
• Maintain knowledge of CPT, ICD-10, HCPCS coding standards.

Skills

Billing Experience

Payer portals

Denial follow-up

CPT ICD-10 HCPCS

Trauma-informed approach

Education

High school diploma

Tools

Clearinghouse

Inovalon

EHR/EMR systems

Billing software

Job description

Preferred Behavioral Health of New Jersey is seeking a Behavioral Health Billing Coding Specialist to manage claims across NJ payors, including Medicaid and Medicare, and ensure accurate coding with CPT, ICD-10, and HCPCS. The role requires 3+ years in behavioral health billing and experience with both for-profit and non-profit settings.

Responsibilities include claim submissions, denials follow-up, payer portal usage, and collaboration with compliance and offshore teams to maintain high-quality