Bill Processor

NJM Insurance Group • Trenton, NJ

1d

About The Position

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. 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. 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
• 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
• Multi-tasking, problem-solving and decision-making abilities

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

• Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees