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.
Job Type: Full-time
Pay: $40,500.00 - $47,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Flexible spending account
- Health insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work setting:
Ability to Commute:
- Trenton, NJ 08628 (Required)
Work Location: Hybrid remote in Trenton, NJ 08628