Bill Processor

New Jersey Manufacturers • Trenton, NJ

10h • Onsite

About The Position

NJM is seeking a Bill Processor for its Medical Claims Services (MCS) Medical Bill Processing Department. The ideal candidate will possess excellent communication, organizational, and time management skills. This role reports to a Supervisor in Medical Claim Services Bill Processing and is responsible for the timely audit and processing of medical bills to ensure compliance with regulatory timeframes. The schedule is Monday-Friday, with specific hours subject to selected start times between 8:00 am and 9:00 am, pending supervisory approval. Regular and predictable onsite attendance is an essential function of the job.

Requirements

• High School Diploma or GED required.
• 1-2 years of insurance and/or medical office experience, preferred.
• 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.
• Effective computer skills and ability to work in multiple systems.
• Ability to work independently.

Nice To Haves

• Associate Degree and/or coding certification, 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.

Benefits

• 401(k) with employer match up to 8% and additional service-based contributions
• Health insurance
• Dental insurance
• Vision insurance
• Life coverage
• Disability coverage
• Generous PTO
• Paid Sick Leave
• Paid parental leave
• Discretionary bonuses

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED