Behavioral Health Billing & Credentialing in New Jersey
If you run a therapy practice in New Jersey or New York, insurance work can take up more of the week than you meant it to. Candid Billing is a small team in New Jersey that helps independent mental and behavioral health practices with that work — the whole billing process, or only the part you want help with.
Flexible billing support. Responsive service. One team for the revenue-cycle work your practice needs.
Who we help
We work with small and growing outpatient mental and behavioral health practices, including:
- Solo therapists and counselors
- Licensed clinical social workers (LCSWs)
- Licensed professional counselors (LPCs)
- Psychologists
- Group practice owners who are adding clinicians or opening another location
Our focus is independently owned practices, not large hospital systems. We are based in our New Jersey office in Carlstadt and regularly support practices in New Jersey and New York, as well as other states when it is a good fit.
Help that can be full support or a la carte
You do not have to hand over your entire billing office to work with us. Some practices ask us to manage billing from claim submission through follow-up and payment posting. Others already have a biller and only need help in one area.
You can work with us on one or more of the following:
Mental health billing and claims. Submitting claims, following up with payers, correcting rejected claims, and posting payments.
Insurance verification for therapists. Checking available benefit details before a visit — often called Verification of Benefits — including active coverage, copays, deductibles, and authorization or referral requirements where that information is available.
Mental health credentialing in New Jersey. Help with CAQH, commercial payer applications, Medicare enrollment, adding a provider to an existing group, and application follow-up. This can be done on its own, without moving your billing to us.
Denied or unpaid claims. Reviewing denials, making corrections, and following up on older unpaid claims and accounts receivable.
New practice setup. Help getting enrollment, verification, and billing workflows in place when you open a practice or add a clinician.
Mental health billing services in New Jersey
Behavioral health billing in New Jersey has its own details: therapy and evaluation codes, session authorizations, and the mix of commercial and Medicaid plans many local practices see each week. We can take on that day-to-day work so it does not sit on your desk between sessions.
That may include claim submission, payer follow-up, and help when a claim is rejected or unpaid. If you already submit your own claims, we can also step in only for follow-up or older balances. Therapist billing services in NJ can be the full process or only those pieces.
We use HIPAA-conscious processes when we handle billing information for a practice.
Insurance verification for therapists
Many therapists want to know, before a first visit, whether a plan is active and what the client may owe. Insurance verification for therapists can be a standalone service with us, even if someone else already does your billing.
When the plan information is available, that review can include active coverage, copays, deductibles, coinsurance, out-of-pocket details, network benefits, and whether an authorization or referral is needed.
Credentialing support for New Jersey therapists
Getting on insurance panels takes paperwork and follow-up: a CAQH profile, commercial applications, Medicare enrollment, and, often, adding a new clinician to a group that is already in network. We can help New Jersey and New York mental health providers with credentialing and enrollment without taking over billing.
If you are hiring, that often means adding a new clinician to the panels you already work with and following up until there is a decision.
The systems and payers we work with
We work in the systems many therapists already use, including TherapyNotes and SimplePractice. If you use a different platform, tell us which one and we can talk through it.
In New Jersey, we have worked with plans such as Horizon Blue Cross Blue Shield of New Jersey, Aetna, UnitedHealthcare/Optum, Cigna, AmeriHealth, Horizon NJ Health, and Medicare. We are not affiliated with any of these payers, and we do not represent them. We help with the billing and enrollment work on your practice's side, for the plans you already see or hope to join.
A free billing review
If you would like a second look at how billing is going, we offer a free billing review. Tell us a little about your practice on our contact page, and we will follow up to see whether there is a useful way to help. If there is not a good fit, we will say so. There is no obligation.
Questions therapists often ask
Can I hire Candid Billing for only insurance verification or credentialing?
Yes. You can work with us on one service, several services, or the full billing process. Many practices already have a biller and only want help with Verification of Benefits, credentialing a new clinician, or unpaid claims.
Do you work in TherapyNotes and SimplePractice?
Yes. Those are two of the systems we work in with mental health practices. If you use a different system, tell us which one and we can talk through it.
Do you only work with practices in New Jersey?
We are based in New Jersey and work often with practices in New Jersey and New York. We also support mental and behavioral health practices in other states when it is a good fit.
Which insurance plans can you help with?
We have worked with Horizon Blue Cross Blue Shield of New Jersey, Aetna, UnitedHealthcare/Optum, Cigna, AmeriHealth, Horizon NJ Health, and Medicare, among others. We are not part of those companies and cannot speak for their networks or decisions. We help with the billing and enrollment work on your side.
Can you help if I am just opening a practice?
Yes. For a new practice, that may include help with credentialing and enrollment, setting up verification and billing workflows, and getting ready to submit claims. We can start with the pieces you need first.
What is the free billing review?
It is a conversation and a look at the billing issues you are seeing — for example, unpaid claims, credentialing follow-up, or insurance verification before visits. Afterward, we will tell you whether and how we could help. It is free, and you decide what happens next.
If this sounds like the help your practice needs, we would be glad to talk. Please reach us through our contact page.