BILLING COORDINATOR - NON PROFIT MENTAL HEALTH
$80,000–$80,000 year
On-siteToms River, New Jersey, United States
Job Summary
Submit claims to NJMHAAP, commercial, Medicare, Medicaid, state, county, and federal payors while resolving denials and managing delinquent accounts. Review payer rejections in the clearinghouse, communicate with clients regarding payment options and hardships, and oversee billing specialist staff. Serve as the operational liaison between billing and finance during the transition to the Continuum Cloud Electronic Health Record. Maintain up-to-date knowledge of billing codes and compliance guidelines to ensure adherence to federal, state, and local regulations. Use a trauma-informed approach when addressing client financial concerns.
Required Qualifications
- at least 3 years of behavioral health billing experience in a Not-for-Profit Setting
- expert-level knowledge of NJMHAPP, commercial, Medicare, Medicaid, State, County and Federal behavioral health payors
- 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
- High school diploma or equivalent
- 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
- 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
Desired Qualifications
- Billing Certificates (CPB, CMRS, or equivalent)
- Inovalon experience
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