BEHAVIORAL HEALTH BILLING CODING SPECIALIST

Job Title Behavioral Health Medical Billing Coding Specialist Program Billing Department Location Office 52 Hyers Street, Toms River, New Jersey Position Type Full Time Salary $60,000.00 - $70,000.00 Job Summary We are seeking an experienced, detail-oriented Behavioral Health Medical Billing Coding Specialist with at least 3 years of behavioral health billing coding experience. The ideal candidate will have experience in both for-profit and non-profit behavioral health organizations and possess expert-level knowledge of NJMHAPP, commercial, Medicare, Medicaid, state, and county behavioral health payors. This role requires accuracy and the ability to navigate complex billing environments. 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 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. Competencies Minimum of 3 years of behavioral health medical billing coding experience. Experience in both for-profit and non-profit behavioral health settings is preferred. Proficiency with commercial, Medicare, Medicaid, state, and county payor portals. Qualifications High school diploma or equivalent required. Billing Coding Certificates (CPB, CMRS, or equivalent) are preferred. Knowledge & Technical Skills 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. Benefits 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 EEO

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