Behavioral Health Billing & Coding Specialist

PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY; Toms River (NJ); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, Dental and Prescription Ins.

403(b) Retirement Plan

Generous Paid Time Off and Holidays

Long Term Disability Insurance

Life and AD&D Insurance

Employee Assistance Program

FSA/HSA

Voluntary Benefits (Vision, Aflac, Pet

Staff Training and Development

Employee Referral Bonus

Job summary

Preferred Behavioral Health Group in New Jersey seeks a Behavioral Health Billing Coding Specialist to manage claims across NJ payors and ensure compliant billing. The role requires 3+ years in behavioral health billing, familiarity with NJMHAPP, and experience with commercial, Medicare, Medicaid, state and county payors.

The candidate will work with multiple teams to optimize workflows. Office-based position in Toms River with full-time hours.

Qualifications

• At least 3 years of behavioral health billing coding experience.
• Experience in both for-profit and non-profit behavioral health settings preferred.
• Expert-level knowledge of NJMHAPP, commercial, Medicare, Medicaid, State, and County payors.
• Ability to navigate complex billing environments with accuracy.

Responsibilities

• Submit claims to NJMHAAP, commercial, Medicare, Medicaid, state, and county payors following rules.
• Follow up on outstanding claims and resolve denials in a timely manner.
• Use payer portals for submission, eligibility checks, and follow-up.
• Review payer rejections and reporting in clearinghouse.
• Maintain up-to-date knowledge of billing codes and regulatory changes.
• Ensure compliance with federal, state, and local billing regulations.
• Review and send patient statements; manage delinquent accounts.
• Communicate with clients about billing inquiries and options.
• Collaborate with Quality and Compliance to optimize workflows.

Skills

Behavioral health billing

Billing coding experience

CPT/ICD-10/HCPCS

Payer portals

Denials follow-up

Trauma informed approach

Education

High school diploma or equivalent

Billing/coding certificates (CPB, CMRS)

Tools

Billing software

Clearinghouse

EHR/EMR systems

NJMHAPP

Inovalon experience

Job description

Preferred Behavioral Health Group in New Jersey seeks a Behavioral Health Billing Coding Specialist to manage claims across NJ payors and ensure compliant billing. The role requires 3+ years in behavioral health billing, familiarity with NJMHAPP, and experience with commercial, Medicare, Medicaid, state and county payors.

The candidate will work with multiple teams to optimize workflows. Office-based position in Toms River with full-time hours.