About this opportunity
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY lists this BILLING COORDINATOR - NON PROFIT MENTAL HEALTH opportunity in toms river, New Jersey. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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BILLING COORDINATOR - NON PROFIT MENTAL HEALTH
Full Time 52 HYERS TR, TOMS RIVER, NJ, US
Salary Range: $80,000.00 To $85,000.00 Annually
Job Title: Billing Coordinator
Program: Finance Department
Location: Office 52 Hyers Street, Toms River New Jersey
Position Type: Full Time
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 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.
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.
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.
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
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Worksite address
toms river, NJ, 08757, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.