Billing Manager-Behavioral Health Client

Consolidated Human Resources - CHR; Hackensack (NJ); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

401(k) retirement plan

Health insurance

Job summary

Consolidated Human Resources - CHR in New Jersey seeks a Billing Manager to oversee billing and revenue cycle management for behavioral health and healthcare services. You will lead the billing team, coordinate with clinical, administrative, finance, credentialing, and compliance departments, and ensure compliant, timely processing from verification to collections.

The role emphasizes overseeing A/R, denial management, and payments while maintaining payer requirements and HIPAA compliance.

Qualifications

• Advanced MD experience is required.
• A Bachelor's degree in Finance, Business, Accounting or related field is required.
• Willingness to travel to multiple facilities.
• Minimum of 5 years of healthcare billing experience.
• Supervisory or management experience is required.
• Knowledge of healthcare billing compliance and HIPAA requirements.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency with electronic health records and billing systems.
• Experience with Medicaid, Medicare, commercial insurance, and managed care organizations preferred.

Responsibilities

• Oversee the organization’s day-to-day billing and revenue cycle operations.
• Ensure claims are submitted accurately and within required timeframes.
• Monitor the billing process from charge entry through payment and account resolution.
• Oversee accounts receivable and follow up on outstanding balances.
• Monitor claim denials and identify recurring issues affecting reimbursement.
• Establish procedures to improve claim accuracy and reduce billing errors.
• Ensure patient accounts and insurance information are accurately maintained.
• Review payment postings and adjustments for accuracy.
• Coordinate with staff to resolve billing discrepancies and payment issues.
• Maintain knowledge of commercial insurance and government payer requirements.
• Monitor payer contracts and reimbursement requirements.
• Assist with credentialing and enrollment processes when needed.
• Communicate with insurance representatives regarding claims and reimbursement issues.
• Ensure billing practices remain consistent with payer requirements.
• Maintain appropriate billing policies and procedures.
• Monitor billing activities for potential compliance concerns.
• Support accurate documentation and recordkeeping related to billing and reimbursement.
• Maintain confidentiality of protected health information.
• Work with leadership to address identified compliance issues.
• Stay informed about changes to healthcare billing requirements and reimbursement regulations.
• Supervise and provide direction to billing department employees.
• Establish departmental goals and performance expectations.
• Train and develop billing staff on procedures and payer requirements.
• Conduct regular performance reviews and provide coaching.
• Develop efficient workflows and assign responsibilities.

Skills

Analytical skills

Organizational skills

Problem-solving

Written and verbal communication

Education

MD degree

Bachelor's degree in Finance/Business/Accounting

Tools

Electronic health records (EHR)

Billing systems

Job description

Position Summary

The Billing Manager will oversee the accurate and timely processing of billing for behavioral health and healthcare services while promoting financial efficiency and ensuring compliance with applicable federal and New Jersey regulations. This role will provide leadership to the billing team and work closely with clinical, administrative, finance, credentialing, and compliance departments. This position will oversee the billing process from insurance verification and authorization through claim submission, payment posting, denial management, accounts receivable, and collections.

Essential Duties And Responsibilities

Billing and Revenue Cycle Management

• Oversee the organization’s day-to-day billing and revenue cycle operations.
• Ensure claims are submitted accurately and within required timeframes.
• Monitor the billing process from charge entry through payment and account resolution.
• Oversee accounts receivable and follow up on outstanding balances.
• Monitor claim denials and identify recurring issues affecting reimbursement.
• Establish procedures to improve claim accuracy and reduce billing errors.
• Ensure patient accounts and insurance information are accurately maintained.
• Review payment postings and adjustments for accuracy.
• Coordinate with staff to resolve billing discrepancies and payment issues.

Insurance and Claims Management

• Maintain knowledge of commercial insurance and government payer requirements applicable to the organization.
• Monitor payer contracts and reimbursement requirements.
• Assist with credentialing and enrollment processes when needed.
• Communicate with insurance representatives regarding claims and reimbursement issues.
• Ensure billing practices remain consistent with payer requirements.

Compliance and Risk Management

• Ensure billing practices comply with applicable federal and New Jersey laws and regulations.
• Maintain appropriate billing policies and procedures.
• Monitor billing activities for potential compliance concerns.
• Support accurate documentation and recordkeeping related to billing and reimbursement.
• Maintain appropriate confidentiality and safeguard protected health information.
• Work with leadership to address identified compliance issues.
• Stay informed about changes to healthcare billing requirements and reimbursement regulations.

Leadership and Staff Management

• Supervise and provide direction to billing department employees.
• Establish departmental goals and performance expectations.
• Train and develop billing staff on organizational procedures and payer requirements.
• Conduct regular performance reviews and provide ongoing coaching.
• Develop efficient workflows and assign responsibilities appropriately.

Reporting and Financial Analysis

• Prepare and present regular billing and revenue cycle reports to leadership.
• Monitor key performance indicators including accounts receivable aging, collection rates, denial rates, and claim turnaround times.
• Maintain accurate records and documentation for financial reporting and audits.

Minimum Qualifications

• Advanced MD experience required.
• Bachelor's degree in Finance, Business, Accounting or a closely related field required.
• Travel to multiple facilities is required
• Minimum of 5 years of experience in healthcare billing.
• Previous supervisory or management experience required.
• Knowledge of healthcare billing compliance and HIPAA requirements.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency with electronic health records and billing systems.
• Experience with Medicaid, Medicare, commercial insurance, and managed care organizations preferred.

Benefits

• 401(k) Retirement Plan: 401(k) plan with company matching contributions, available after completing one year of service and meeting applicable vesting requirements.
• Health Insurance: Company contributes 50% toward the employee’s health insurance premium.