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.
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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