Job description

Are you looking for a career where you can make a difference for others? Are you searching for a company that offers you more? Come talk to NJM Insurance, a 2021 Forbes Best Employers in NJ Recipient for the 3rd year in a row! Consider joining our award winning team in West Trenton! We are currently recruiting for individuals to work in our Medical Bill Processing Department.

NJM Offers

• Work from home up to 3 days a week after training is completed

• Outstanding Benefits:

• Potential to bonus

• 401K match up to 8% of salary monthly

• Medical Insurance

• Dental Insurance

• Flexible Spending Account

• Discounts on auto insurance

• Tuition reimbursement

• Annual bonus opportunity worth up to 7.5% of your base compensation

• Onsite Wellness Center

• Additional company discounts for items like travel, service, car rental and more.

• Stable Company:

• A+ Rated by AM Best for Financial Strength

• 2021 Forbes list of the Best Employers in NJ for the third consecutive year

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

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

Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

Job Type: Full-time

Pay: $37,000.00 - $41,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Paid time off
• Tuition reimbursement

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Please indicate if you can apply to this job on our website today at https://njm.wd1.myworkdayjobs.com/en-US/njm/job/Bill-Processor_R2004905 so that our recruiters can review your application.

Experience:

• ICD-10: 1 year (Required)

Work Location: Hybrid remote in Trenton, NJ 08628

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