Behavioral Health Billing Specialist: Complex Claims

PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY; Toms River (NJ); On-site; USD 54,000 - 66,000; Full time

Benefits offered by this job

Medical, Dental and Prescription Insurance

403(b) Retirement Plan

Generous Paid Time Off and Paid Holidays

Employee Assistance Program

Job summary

A leading behavioral health organization in Toms River is looking for a detail-oriented Billing Specialist. This position requires at least 3 years of behavioral health billing experience and proficiency in handling claims with various payors. The ideal candidate will ensure compliance with billing regulations and possess problem-solving skills for complex issues. The role offers a comprehensive benefits package including medical, dental, and retirement plan options. Join our award-winning team dedicated to changing lives across New Jersey.

Qualifications

• Minimum of 3 years of behavioral health billing experience.
• Experience in for-profit and non-profit behavioral health settings preferred.
• Proficiency with commercial, Medicare, Medicaid, state, and county payor portals.

Responsibilities

• Submit claims to various payors following specific rules.
• Conduct timely follow-up on outstanding claims and resolve denials.
• Review payer rejections and compliance with guidelines.

Skills

Behavioral health billing experience

Proficiency with billing software

Understanding of billing regulations

Education

High school diploma or equivalent

Billing certificates (CPB, CMRS, or equivalent)

Tools

Medical office systems

Inovalon experience

Job description

A leading behavioral health organization in Toms River is looking for a detail-oriented Billing Specialist. This position requires at least 3 years of behavioral health billing experience and proficiency in handling claims with various payors. The ideal candidate will ensure compliance with billing regulations and possess problem-solving skills for complex issues. The role offers a comprehensive benefits package including medical, dental, and retirement plan options. Join our award-winning team dedicated to changing lives across New Jersey.