Bill Processor

NJM Insurance Group•Trenton, NJ

2d•$42,577 - $49,488•Onsite

About The Position

Our MCS (Medical Claims Services) 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. Reporting to a Supervisor in Medical Claim Services Bill Processing, the Bill Processor (BP) is responsible and accountable for the timely audit and processing of medical bills. Timely and accurate processing is vital to ensuring that medical bills meet all regulatory timeframes.

Requirements

High School Diploma or GED required
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

Nice To Haves

Associate Degree and/or coding certification, preferred
1-2 years of insurance and/or medical office experience, preferred
Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes a plus
Multi-state knowledge for Workers’ Compensation and/or Personal Auto (PIP) a plus

Responsibilities

Accurately audit and process standard medical bills for routine procedures within statutory timeframes, by following medical coding guidelines and department policies and procedures
Verify correct payee and provider information and ensure 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
Demonstrate working knowledge of the available computer systems (imaging, bill processing, claims) to insure prompt and accurate bill processing.
Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner