Bill Processor

New Jersey Manufacturers • Trenton, NJ

2d • Hybrid

About The Position

Our West Trenton Medical Services Administration team is in search of a Billing Processor. Reporting to the designated supervisor, the Billing Processor is responsible and accountable to review assigned billing statements on a daily basis. This exciting opportunity is great for someone who is highly organized and enjoys working in a fast-paced environment. This role can report to either our West Trenton or Hammonton office. Six months training will be provided. Once complete the role will offer a Hybrid schedule of 2 days in the office and 3 days at home.

Requirements

• 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
• A medical background with billing/coding experience or education is required
• Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes required
• 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

Nice To Haves

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

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees