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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
BILLING COORDINATOR - NON PROFIT MENTAL HEALTH in toms river at Unknown Company
This position is listed as full time and onsite.