NJM Insurance Group
Bill Processor
Trenton, NJ
Sep 14, 2024
Full-time
Full Job Description

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.

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Job Information
Job Category:
Insurance
Spotlight Employer
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Bill Processor
NJM Insurance Group
Trenton, NJ
Sep 14, 2024
Full-time
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