BILLING COORDINATOR - NON PROFIT MENTAL HEALTH

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 ", please submit your resume today for consideration!

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:

o Medical, Dental and Prescription Insurance

o 403(b) Retirement Plan

o Generous Paid Time Off and Paid Holidays

o Long Term Disability Insurance

o Life and AD&D Insurance

o Employee Assistance Program

o Flexible Spending Account and Health Savings Account

o Voluntary Benefits, such as Vision Insurance, Aflac, Pet Insurance

o Staff Training and Development Opportunities

o Employee Referral Bonus program

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