Qualifications: Computer literacy with knowledge and experience in all aspects of billing and the associated billing codes/regulations, electronic medical records and Microsoft Office. Knowledge in Foothold Technology, NJMHAPP and NJMMIS preferred. Must be well organized, accurate, have good interpersonal skills, strong attention to detail and the willingness to welcome new ideas. Must be able to work independently, effectively problem solve and perform critical work under deadlines while keeping Supervisor well informed. Supervisory experience is preferred.
Responsibilities: Oversees all aspects of billing such as, but not limited to: Consistently ensuring prior authorizations and entitlements, billing codes/regulations and consumer billing are all properly billed, current, appropriate and/or up-to-date. Supervises and works with the program billers to ascertain all contact notes are entered correctly and in a timely manner. Provides supervision and works in conjunction with the program billers in ensuring all Medicaid, NJMHAPP, MCO, Medicare and Private Insurance are completed accurately and in a timely manner; ensures all denied claims are corrected and rebilled or written off, as appropriate. Ensures processing of all back billing and rebilling on a monthly basis. Ensures NJMHAPP weekly billing and reporting of discrepancies and that all NJMHAPP units are returned to the State and/or Medicaid when consumer entitlements change from NJMHAPP to Medicaid or vice versa. Collaborates with IT department to ensure billing rules are current and reflected correctly in Awards. Returns all funds for data extract claims as requested by the State NJMHAPP/Medicaid audit report and notifies the Finance Department of any claims that need to be voided/returned to Medicaid and/or NJMHAPP. Ensures all NJMHAPP encumbrances are released in a timely manner. Responsible for staying current in billing regulation changes. Analyzes weekly billing reports identifying and addressing any inconsistencies. Available as a resource to program billers by answering questions, assisting with problems, and providing training, as necessary. Works collaboratively with Directors during Medicaid audits. Ensures all programs have billing coverage during periods of time off. Performs other duties as assigned by the Supervisor.
Reports to: Chief Financial Officer
Location: Based in Montclair, NJ
MHAEM is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MHAEM’s policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law. EEO/AA M/F/M/V/D