MOHR Talent · 1 week ago
Behavioral Health Billing Specialist (Medicaid and MCO focused)
New Jersey, United States
Contract
Onsite
New Grad, Entry LevelMOHR Talent is a well-established, mission-driven healthcare organization seeking a Billing Specialist to support day-to-day billing and reimbursement operations. This role is critical in maintaining accurate cash flow by managing claims, posting payments, resolving denials, and collaborating with Medicaid Managed Care Organizations (MCOs).
Staffing & Recruiting
Responsibilities
Prepare and submit clean electronic and paper claims
Bill services using correct CPT/HCPCS codes, modifiers, and ICD-10 diagnoses
Submit claims directly to Medicaid Managed Care Organizations (MCOs)
Post insurance payments and reconcile EOBs
Prepare daily deposits and maintain accurate payment records
Verify Medicaid eligibility and confirm assigned MCO prior to billing
Track and manage prior authorizations and service limits
Follow up on rejected or denied MCO claims
Correct coding, authorization, or documentation issues and resubmit claims
Assist with appeals related to medical necessity, authorization, or timely filing
Help ensure documentation supports billed services and audit readiness
Prepare and send patient statements
Monitor delinquent accounts and assist with payment plans
Generate billing and aging reports to support monthly close
Identify trends in denials or underpayments and escalate as needed
Maintain strict HIPAA compliance and confidentiality
Work with Finance and program teams to improve billing accuracy and processes
Support ongoing improvements to billing workflows and systems
Qualification
Required
High School Diploma (additional education a plus)
Experience in medical billing, preferably behavioral health or community health
Direct experience with Medicaid billing and Managed Care Organizations (MCOs)
Strong Excel skills (filtering, formulas; pivot tables a plus)
Experience with EHR or billing systems
Knowledge of insurance verification, claims submission, and payer guidelines
Strong attention to detail and ability to work independently
Professional communication and customer-service mindset
Benefits
Health, dental, and vision insurance
Retirement plan (403(b))
Paid time off and holidays
Stable, professional, team-oriented environment
Company
MOHR Talent
MOHR Talent is your partner in people, progress, and possibility.
Founded in 2023
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase