Impactful 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 Insurance

Dental Insurance

403(b) Retirement Plan

Paid Time Off

Paid Holidays

Long Term Disability

Life and AD&D Insurance

Employee Assistance Program

Flexible Spending Account and Health_S

Voluntary Benefits

Staff Training

Employee Referral Bonus

Job summary

Preferred Behavioral Health Group in New Jersey is seeking a Behavioral Health Billing Coding Specialist to join our office in Toms River. The ideal candidate has 3+ years of behavioral health billing and coding experience and advanced knowledge of CPT, ICD-10, and HCPCS, with familiarity in NJMHAPP and multiple payors.

This full-time role requires accuracy, attention to detail, and the ability to navigate complex billing environments.

Qualifications

• 3+ years of behavioral health billing and coding experience.
• Knowledge of NJMHAPP and various payors (commercial, Medicare, Medicaid, state, county).
• High school diploma or equivalent; professional certificates preferred.

Responsibilities

• Submit claims to NJMHAAP, commercial, Medicare, Medicaid, state, and county payors.
• Follow up on outstanding claims and resolve denials.
• Use payer portals for submissions, eligibility checks, and follow-ups.
• Review rejections and reporting in clearinghouse.
• Maintain knowledge of billing codes and regulatory changes.
• Ensure compliance with federal, state and local regulations.
• Communicate with clients about billing inquiries and payment options.
• Collaborate with Quality and Compliance to optimize workflows.
• Coordinate offshore billing team to maintain quality standards.

Skills

BH billing experience

NJMHAPP knowledge

CPT/ICD-10/HCPCS

Education

High school diploma or equivalent

Billing/Coding Certificates (CPB/CMRS)

Tools

Billing software

Clearinghouse systems

Job description

Preferred Behavioral Health Group in New Jersey is seeking a Behavioral Health Billing Coding Specialist to join our office in Toms River. The ideal candidate has 3+ years of behavioral health billing and coding experience and advanced knowledge of CPT, ICD-10, and HCPCS, with familiarity in NJMHAPP and multiple payors.

This full-time role requires accuracy, attention to detail, and the ability to navigate complex billing environments.