BILLING COORDINATOR - NON PROFIT MENTAL HEALTH

Preferred Behavioral Health Group; Toms River (NJ); On-site; USD 72,000 - 88,000; Full time

Benefits offered by this job

Medical, Dental and Prescription保险

403(b) Retirement Plan

Paid Time Off and Holidays

Long Term Disability Insurance

Life and AD&D Insurance

Employee Assistance Program

Flexible Spending Account and Health s

Vision Insurance, Aflac, Pet Insurance

Staff Training and DevelopmentOpportu

Employee Referral Bonus program

Job summary

Preferred Behavioral Health Group in Toms River, NJ seeks an experienced Billing Coordinator to lead nonprofit behavioral health billing operations in a dynamic finance department. The role requires expertise with NJMHAPP, commercial, Medicare, Medicaid, and other payors, plus oversight of billing staff and transition to a new electronic health record.

The ideal candidate has 3+ years in behavioral health billing, supervisory experience, and strong knowledge of CPT, ICD-10, HCPCS coding, and

Qualifications

• Minimum of 3 years billing experience in a non-profit behavioral health
• Proficiency with commercial, Medicare, Medicaid, state, county and federal payor portals.
• Minimum of 3 years of supervisory and behavioral health billing experience.

Responsibilities

• Submit claims to NJMHAAP, commercial, Medicare, Medicaid, state, county and federal payors.
• 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 billing inquiries including payment options 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.
• Serve as the primary operational liaison between billing and finance and the Continuum Cloud EHR implementation.

Skills

Billing

Supervisory

Payer portals

Regulatory compliance

Education

High school diploma or equivalent

Billing Certificates (CPB, CMRS, or equivalent)

Tools

Billing software

Clearinghouse

EHR/EMR systems

NJMHAPP

Job description

If you are looking to make an impact by helping others, then Preferred Behavioral Health Group is the place for you! By joining our award-winning team, you will become part of the premier behavioral health organization in New Jersey. PBHG is a dynamic and innovative non-profit organization that was proudly named one of "THE BEST PLACES TO WORK IN NEW JERSEY" for BOTH 2024 and 2025 by NJBIZ! Our mission is to change lives and save lives across the state of New Jersey through a Trauma Informed Care culture.

Our staff is at the core of everything we do. We are dedicated to building a diverse team where employees feel a sense of belonging and are valued for their individual contributions. We encourage staff development and embrace a growth mindset. If you are interested in pursuing an exciting and rewarding career while being part of a recognized “Best Place to Work”.

Job Title: Billing Coordinator

Program: Finance Department

location: Office 52 Hyers Street, Toms River New Jersey

Position Type: Full Time

Starting Salary: $80,000.00

Position Overview

We are seeking an experienced, detail-oriented Billing Coordinator with at least 3 years of behavioral health billing experience in a Not-for-Profit Setting and possess expert-level knowledge of NJMHAPP, commercial, Medicare, Medicaid, State, County and Federal behavioral health payors. This role requires accuracy the ability to navigate in complex billing environments and coordinate / oversee activities of billing staff as well as transitioning to a new electronic health record

Responsibilities

• In addition to performing the following responsibilities, the billing coordinator will also directly oversee / supervise Billing specialist staff in the following areas:
• Submit claims to NJMHAAP, commercial, Medicare, Medicaid, state, county and federal 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 inquires included but not limited to payment options, client hardships, and client fees.
• Collaborate with Quality and Compliance to support optimal system configuration and workflow efficiency.
• Coordinate offshore billing team to maintain quality standards and performance goals.
• Serve as the primary operational liaison between billing and finance as well as with the implementation of the newly implemented Continuum Cloud Electronic Health Record

Qualifications

Experience

• Minimum of 3 years billing experience in a non-profit behavioral health
• Proficiency with commercial, Medicare, Medicaid, state, county and federal payor portals.
• Minimum of 3 years of supervisory and behavioral health billing experience.

Education

• High school diploma or equivalent required.
• Billing Certificates (CPB, CMRS, or equivalent) are preferred.

Competencies

• Proficiently communicates - written and verbal
• 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.
• Knowledge of clearinghouse, Inovalon experience preferred.
• Strong understanding of payer regulations and behavioral health billing requirements.
• Use a trauma informed approach to all client financial concerns.
• Familiarity with claim submission processes, billing software, EHR/EMR systems.
• Strong problem-solving skills for resolving complex billing and reimbursement issues.

Comprehensive Benefits Package

• Medical, Dental and Prescription Insurance
• 403(b) Retirement Plan
• Generous Paid Time Off and Paid Holidays
• Long Term Disability Insurance
• Life and AD&D Insurance
• Employee Assistance Program
• Flexible Spending Account and Health Savings Account
• Voluntary Benefits, such as Vision Insurance, Aflac, Pet Insurance
• Staff Training and Development Opportunities
• Employee Referral Bonus program

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