Behavioral Health Medical Billing & Coding Specialist

Preferred Behavioral Health Group; Toms River (NJ); On-site; USD 60,000 - 70,000; Full time

Benefits offered by this job

Medical, Dental and Prescription

403(b) Retirement Plan

Paid Time Off

Long Term Disability Insurance

Life and AD&D Insurance

Employee Assistance Program

Flexible Spending Account

Health Savings Account

Vision Insurance

Pet Insurance

Training and Development

Employee Referral Bonus

Job summary

Preferred Behavioral Health Group is seeking a skilled Behavioral Health Medical Billing Coding Specialist to join the Billing Department in Toms River, NJ. This full-time role requires expertise in behavioral health billing, coding, and working with NJ payors.

The ideal candidate will have at least 3 years of experience, CPT/ICD-10/HCPCS knowledge, and proficiency with payer portals. Comprehensive benefits are offered, including retirement, PTO, and more.

Qualifications

• Minimum of 3 years of behavioral health medical billing coding experience.
• Proficiency with CPT, ICD-10, and HCPCS coding standards.
• Proficiency with commercial, Medicare, Medicaid, state, and county payor portals.

Responsibilities

• Submit claims to NJMHAAP, commercial, Medicare, Medicaid, state, and county 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 including payment options, client hardships, and client fees.
• Collaborate with Quality and Compliance to support system configuration and workflow efficiency.
• Coordinate offshore billing team to maintain quality standards and performance goals.

Skills

Behavioral health billing

Attention to detail

Communication skills

Education

High school diploma or equivalent

Billing Coding Certificates CPB/CMRS

Tools

Billing software

EHR/EMR systems

Clearinghouse

Payer portals

Inovalon

Job description

Preferred Behavioral Health Group is seeking a skilled Behavioral Health Medical Billing Coding Specialist to join the Billing Department in Toms River, NJ. This full-time role requires expertise in behavioral health billing, coding, and working with NJ payors.

The ideal candidate will have at least 3 years of experience, CPT/ICD-10/HCPCS knowledge, and proficiency with payer portals. Comprehensive benefits are offered, including retirement, PTO, and more.