Bill Processing and Workflow Specialist

NJM Insurance Group•Trenton, NJ

1d•Hybrid

About The Position

Reporting to a Supervisor in Medical Claim Services Bill Processing, the Bill Processing (BP) and Workflow Specialist is responsible and accountable for ensuring that medical documents are researched and processed within multiple applications. Timely and accurate processing is vital to ensuring that medical bills are routed to so they can be processed within regulatory timeframes. This position also includes processing a limited number of medical bills for payment, providing the opportunity for career progression. 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.)

Requirements

High School Diploma or GED required
Minimum of 2 years of insurance and/or medical billing experience, preferred
Team player with demonstrated ability to work in a highly collaborative environment
Good organizational and time-management skills
Analytical Skills
Decision-making, problem solving and multi-tasking capabilities
Strong verbal and written communication skills
Detail oriented and demonstrates accuracy
Demonstrates reliability and conforms to the company’s attendance policy
Ability to work in a fast-paced environment and adapt to change
Adaptable and serves as a role model to others in the acceptance of change
Strong computer skills and ability to work in multiple systems

Nice To Haves

Associate Degree and/or coding certification, preferred

Responsibilities

Demonstrate a strong understanding of the workflow(s) of processing documents for both lines of business.
Review and research documents in multiple systems.
Update information in systems to ensure medical bills are routed for bill processing.
Prioritize and balance daily workload.
Accurately audit and process medical bills within statutory timeframes, by following medical coding guidelines and department policies and procedures.