Bill Processor - Njm Insurance Group : Job Details

There's never been a better time to join NJM! With a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading provider of worker's compensation, automobile and homeowners insurance in New Jersey.

Become a member of our team and you'll be part of a company who operates for the sole benefit of its policyholders and is committed to maintaining the highest levels of service. Team members are offered a competitive compensation package and benefits including: a 401k plan, health coverage, a generous paid time off plan, and much more!

Our West Trenton MSA (Medical Services Administration) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as well as strong organizational and time management skills.

Schedule: Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval. (Potential for hybrid schedule once fully trained.)

Job Responsibilities

• Audit and process medical bills within statutory timeframes, by following medical coding guidelines and department policies and procedures

• Verify correct payee and provider information and ensure that all bills that meet audit criteria are routed immediately for audit purposes.

• Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and compensability.

• Apply state fee schedules when appropriate

• Review and respond to MSA QC (Quality Control) issues including current billing questions, retroactive billing concerns, stops and reimbursement requests.

• Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner

Required Qualifications and Experience

• A medical background with billing/coding experience or education is preferred

• Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes preferred

• Multi-state knowledge for Workers' Compensation and/or Personal Auto (PIP) a plus

• Strong communication skills, including writing, speaking and active listening

• Ability to learn quickly, work in fast paced environment and adapt to change

• Organization, time management and prioritization abilities

• Strong interpersonal and customer service skills

• Ability to balance priorities by responding to customer concerns while performing thorough investigations of all issues encountered

• Multi-tasking, problem-solving and decision-making abilities

• Effective computer skills and ability to work in multiple systems

• Ability to work independently

• High School Diploma or GED required

Salary Range: $40,500 - $47,000. Salary is commensurate with experience and credentials.

Benefits Offered:

• Medical Insurance (Blue Cross Blue Shield)
• Dental Insurance (Delta Dental)
• Vision (Delta Vision/ VSP)
• Flexible Spending Account
• Discounts on NJM auto insurance
• Tuition reimbursement
• Life insurance
• Plus, additional company discounts for items like travel, service, car rental and more!

Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.